Catalyst Medical Clinic PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1540 Issued in MN

Legal business name

CATALYST MEDICAL CLINIC PA

Practice address

204 Lewis Ave S Ste 201
Watertown, MN 55388-4502

Phone

(952) 955-1963

Fax

(952) 955-1965

NPI assigned

Sep 13, 2006

Last updated

Mar 27, 2018By 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

Scott M Jensen, MDNPI 1154305662

Title

President/Owner

Phone

(952) 955-1963

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Scott M Jensen, MD

  • Family Medicine Physician
  • Watertown, MN
  • NPI 1154305662
  Authorized official Same address or phone

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1457456691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871114",
            "telephone_number": "952-442-7015",
            "fax_number": "952-442-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S STE 201",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884502",
            "telephone_number": "952-955-1963",
            "fax_number": "952-955-1965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Chaska Creek Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "55318",
            "country_code": "US",
            "telephone_number": "952-856-1046",
            "fax_number": "952-856-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATALYST MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-955-1963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "860567000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth D Bass, DPT
• Jonathan James Bennett, MD
• Megan Jean Berg, MS CFY-SLP
• Karen A. Bisson, OTR
• Patric Burke, CMT
• Children's Therapy Specialists, Inc.
• Chiropractic Specialists of Watertown PC
• Julie Choate, RCVT, RCT
• Jeffrey James Dagen, RPT
• David Thelen (carver eye care)

• Primary Care Clinic/Center in Watertown, MN
• Providers in Watertown, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.