Madeline Gartner Surgery PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MADELINE GARTNER SURGERY PLLC

Practice address

2805 Campus Dr
Suite 405
Plymouth, MN 55441-2676

Phone

(763) 473-1480

Fax

(763) 473-1998

NPI assigned

Jun 3, 2006

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Madeline Hallie Gartner, M.D.NPI 1194763003

Title

Owner

Phone

(763) 473-1480

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Breast HealthCare Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madeline Hallie Gartner, M.D.

  • Surgery Physician
  • Plymouth, MN
  • NPI 1194763003
  Authorized official Same address or phone
• Leslie Eunice Sheehy Lee, FNP-C

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1255149225
  NPD (past)
• Gregory Todd Mesna, MD

  • Plastic Surgery Physician
  • St Louis Park, MN
  • NPI 1679542070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1154369866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 405",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-473-1480",
            "fax_number": "763-473-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 405",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "763-473-1480",
            "fax_number": "763-473-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE GARTNER SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "HALLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-473-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "86G16MA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "116634",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "131146",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast HealthCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill Marie Lytwyn
• Mitchell William Macbeth, PA-C
• Jessica Kaitlyn Macentee, MD
• John Francisco Mack
• Joseph Timothy Madden, D.D.S
• Michele Mader
• Amy T Madson, LMFT FAMI
• Angela Mae, CMT
• Steven Maershbecker, PHARM.D.
• Annie Magnusson

• Surgery Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.