Kara Lynn Fausch, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52313 Issued in MN

Practice address

512 Skyline Boulevard
Cloquet, MN 55720

Phone

(218) 878-7601

Fax

(218) 878-7048

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Wound Care Minnesota PLLC

  • General Practice Physician
  • Delano, MN
  • NPI 1205390457
  Medicare reassignment NPD
• Integrated Wound Care Management Wisconsin LLC

  • General Practice Physician
  • Superior, WI
  • NPI 1154963049
  Medicare reassignment NPD

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1417124553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 TIMBER HILL CT",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113228",
            "telephone_number": "632-322-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SKYLINE BOULEVARD",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "55720",
            "telephone_number": "218-878-7601",
            "fax_number": "218-878-7048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 Loberg Ave",
            "address_purpose": "LOCATION",
            "city": "Hermantown",
            "state": "MN",
            "postal_code": "558112652",
            "country_code": "US",
            "telephone_number": "218-249-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSCH",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "52313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Conley DDS PLLC (Wood City Dental)
• Allison Bernice Enger
• Esko Isd 99
• Kristina Lynn Etheridge
• Christine S Fairbanks, MA CCC-SLP
• FCSL Cloquet, LLC (Diamond Willow Assisted Living of Cloquet)
• FCSL Cloquet, LLC (Diamond Willow Asssited Living)
• FDL Adolescent Outpatient TX
• Taylor Nicole Fenn
• Madison Renee Fetters

• Family Medicine Physician in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.