Tara L Kelly (NPI# 1215967146, PAC ID# 9335219138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215967146 |
| PAC ID by PECOS | 9335219138 |
| Professional Enrollment ID | I20080605000612 |
| Full Name | Tara L Kelly |
| Organization Legal Name | FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS |
| Address |
911 E Maryland Ave Saint Paul MN 55106-2647 |
| Phone Number | 6517762719 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355369018 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| 240210 | HEALTHEAST ST JOHN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 911 E Maryland Ave, Saint Paul, MN 55106-2647 | 6517762719 | FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS |
| Organization Legal Name | FAMILY HEALTHSERVICES MINNESOTA, P.A. DBA ENTIRA FAMILY CLINICS |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Losasso | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 234 E Wentworth Ave, West St Paul, MN 55118-3525 |
| Casandera K Wiek | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 7280 E Point Douglas Rd S, Cottage Grove, MN 55016-3016 |
| Aaron J Ulland | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 1540 Randolph Ave, Saint Paul, MN 55105-2535 |
| Nicole J Staloch | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 7180 10th St N, Oakdale, MN 55128-1122 |
| Christina M Olson | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3087 |
| Grete F Thomsen | Physician Assistant | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 |
| Julia K Perpich | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 1050 W Larpenteur Ave, Saint Paul, MN 55113-6556 |
| Jeffrey D Elbers | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 4786 Banning Ave, White Bear Lake, MN 55110-3264 |
| John P Barsanti | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Garrett R Trobec | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 404 Hwy 96 W, Shoreview, MN 55126-1901 |
| Street Address |
911 E MARYLAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip | 55106-2647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Barsanti | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Ellen C Ratts | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Kelly A Barnes | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Thomas L Lundsten | Family Practice | Family Healthservices Minnesota, P.a. | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paokou M Yang | Podiatry | 1504 N White Bear Ave, Suite A, Saint Paul, MN 55106-1623 | |
| Jackson Lee | Chiropractic | Chiroport | 1440 Arcade St C, Saint Paul, MN 55106-1830 |
| Nancy G Hawkins | Psychologist, Clinical | 1012 Hyacinth Ave E, Saint Paul, MN 55106-2038 | |
| Charles C Rawlings | Chiropractic | 1497 White Bear Ave N, Saint Paul, MN 55106-2414 | |
| Christine Wysocki | Chiropractic | Chiro Health Clinic Pa | 1132 Arcade St, Saint Paul, MN 55106-2614 |
| Lillian Ngoc-mai Lee | Chiropractic | Chiro Health Clinic Pa | 1132 Arcade St, Saint Paul, MN 55106-2614 |
| Jer Lee | Chiropractic | Chiro Health Clinic Pa | 1132 Arcade St, Saint Paul, MN 55106-2614 |
| Yer G Vue | Optometry | 1165 Arcade St, Saint Paul, MN 55106-2615 | |
| Jennifer L Budd | Family Medicine | Fairview Express Care | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 |
| Joseph S Renier | Family Medicine | Fairview Express Care | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 |
| Find all physicians in zip 55106 | |||
| City | SAINT PAUL |
| Zip Code | 55106 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT PAUL + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.