Minnesota Pathologists Chartered

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

PF 259 Issued in MN

Legal business name

MINNESOTA PATHOLOGISTS CHARTERED

Practice address

301 Becker Ave SW
Willmar, MN 56201-3302

Phone

(320) 231-4500

Fax

(320) 231-4503

NPI assigned

Jan 26, 2007

Last updated

Oct 30, 2013By 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

Lee L Cafferty, MD, MD

Title

Ceo

Phone

(320) 231-4500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 61

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.

• Kent Joseph Donelan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Willmar, MN
  • NPI 1447442181
  Medicare reassignment Care Compare group NPD
• Leah Ann Dvorak, DO

  • Anatomic Pathology Physician
  • Willmar, MN
  • NPI 1144457466
  Medicare reassignment Care Compare group NPD
• Steven Michael Vanderwerf, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Willmar, MN
  • NPI 1215082169
  Medicare reassignment Care Compare group NPD
• Raquel Kay Walsh Jahnke, DO, MBA

  • Anatomic Pathology & Clinical Pathology Physician
  • Willmar, MN
  • NPI 1770872095
  Medicare reassignment Care Compare group NPD
• Scott Matthew Abrams, M.D.

  • Family Medicine Physician
  • Willmar, MN
  • NPI 1265498430
  NPD
• Malik Ahmad, M.D.

  • Hospitalist Physician
  • Saint Cloud, MN
  • NPI 1174181614
  NPD
• Christopher D. Aronson, MD

  • Hospitalist Physician
  • Saint Cloud, MN
  • NPI 1649269291
  NPD
• Angela L Beyerl, FNP-BC

  • Family Nurse Practitioner
  • Willmar, MN
  • NPI 1457793531
  NPD
• Jackie L Collins, CNP

  • Family Nurse Practitioner
  • Waconia, MN
  • NPI 1023086568
  NPD
• Anjali Dahiya, M D

  • Internal Medicine Physician
  • Willmar, MN
  • NPI 1275709420
  NPD
• Ryan R. Davis, D.O.

  • Family Medicine Physician
  • Willmar, MN
  • NPI 1427374123
  NPD
• Lana Jane Dirksen, MD

  • Family Medicine Physician
  • Montevideo, MN
  • NPI 1316381965
  NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1992851315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013302",
            "telephone_number": "320-231-4500",
            "fax_number": "320-231-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA PATHOLOGISTS CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "CAFFERTY, MD",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-231-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "PF 259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Rae Miller, ED.D.
• Morgan Miller, LICSW
• Thomas Henry Miller, DDS
• Ashley Caroline Millner, LPCC
• Lucio R. Minces, M.D.
• Minnesota Speciality Health Systems Willmar
• Jenell Ruth Mitteness, RN, CFNP
• Ritchie D. Mjelde, P.T.
• Katherine Abigail Moberg, APRN, CNP
• Kari Lynn Mobley, AU.D.

• Anatomic Pathology & Clinical Pathology Physician in Willmar, MN
• Providers in Willmar, MN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.