Cheryl Marie Klenow, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

36591 Issued in MN

Practice address

1835 West County Road C
Roseville, MN 55113-1304

Phone

(763) 785-4500

Fax

(763) 785-7779

NPI assigned

Mar 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Regina Medical Center

  • General Acute Care Hospital
  • Hastings, MN
  • NPI 1326066085
  NPD (past)
• Emergency Physician Specialists Inc

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1912973850
  NPD (past)
• Hospital Service District No. 2

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1548263262
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1487623435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 WEST COUNTY ROAD C",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131304",
            "telephone_number": "763-785-4500",
            "fax_number": "763-785-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 WEST COUNTY ROAD C",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131304",
            "telephone_number": "763-785-4500",
            "fax_number": "763-785-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENOW",
        "first_name": "CHERYL",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MN",
            "license": "36591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "842974000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten MJ Marsh Ma LMFT LLC
• Kismo Transportation LLC
• Mary Lynn Kittelson, LP, JUNGIAN ANALYST
• Kyle Aaron Kitzman, MD
• Nicole J Klein, R.N.
• Amanda Marie Kleppe, MD
• Jennifer Ashley Knight, MD
• Christopher James Knoedler Jr., MD
• John P Knoedler Jr., MD
• Gregory Paul Knudsen, ABOC, NCLE

• Occupational Medicine Physician in Roseville, MN
• Providers in Roseville, MN by specialty
• Occupational Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.