St Cloud Pathologists PA

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

ST CLOUD PATHOLOGISTS PA

Practice address

1406 6TH Ave N
St Cloud, MN 56303-1901

Phone

(320) 251-2700

Fax

(320) 255-5838

NPI assigned

Feb 2, 2006

Last updated

Oct 26, 2020By 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

Christina Renner

Title

Business Manager

Phone

(320) 761-1011

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 91

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.

• Bradley Curtis

  • Clinical Pathology/Laboratory Medicine Physician
  • Saint Cloud, MN
  • NPI 1831160274
  Medicare reassignment Care Compare group NPD
• Amelia Fierro-Fine, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Cloud, MN
  • NPI 1013353358
  Medicare reassignment Care Compare group NPD
• Alysa D Lerud, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Cloud, MN
  • NPI 1447819925
  Medicare reassignment Care Compare group NPD
• Carolyn Dee Rysgaard, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Cloud, MN
  • NPI 1497048276
  Medicare reassignment Care Compare group NPD
• Katie Schouweiler, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Cloud, MN
  • NPI 1770923302
  Medicare reassignment Care Compare group NPD
• Michelle Kurt-Mangold, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dubuque, IA
  • NPI 1063731644

  MN

  Medicare reassignment Care Compare group NPD
• Joel Alexander Miron, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Iowa City, IA
  • NPI 1215191044

  MN

  Medicare reassignment Care Compare group NPD
• Matthew D. Zieske, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Iowa City, IA
  • NPI 1952511404

  MN

  Medicare reassignment Care Compare group NPD
• Nelson L Adamson, MD

  • Radiation Oncology Physician
  • Shakopee, MN
  • NPI 1720155336
  NPD
• Bharath Manu Akkara Veetil, MBBS

  • Rheumatology Physician
  • Saint Cloud, MN
  • NPI 1023174323
  NPD
• Bobbie Jo Bertram, RN, CNP

  • Family Nurse Practitioner
  • Saint Cloud, MN
  • NPI 1275844011
  NPD
• Steven H Bollinger, MD

  • Gastroenterology Physician
  • Saint Cloud, MN
  • NPI 1225029374
  NPD

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1396717633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7848",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027848",
            "telephone_number": "320-251-2700",
            "fax_number": "320-255-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 6TH AVE N",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563031901",
            "telephone_number": "320-251-2700",
            "fax_number": "320-255-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD PATHOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "320-761-1011"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "655013400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Cloud Metro Transportation LLC
• St Cloud MN Ophthalmology ASC LLC (St. Cloud Center for Ophthalmic Surgery)
• St Cloud Opticians
• St Cloud Outpatient Surgery LTD
• St Cloud Outpatient Surgery LTD (St Cloud Surgical Center CRNA)
• Sara Gudrun St Hilaire, FNP-C
• St. Cloud Area School District 742
• St. Cloud Carefree Living
• St. Cloud Comfort Rides Inc.
• St. Cloud Ear, Nose & Throat - Surgical Suites LLC

• Clinical Pathology/Laboratory Medicine Physician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Pathology/Laboratory Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.