Minnesota Pathologists Chartered
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Willmar, MN
NPI 1992851315 · NPPES record last updated Oct 30, 2013
Key facts
- NPI
- 1992851315
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- PF 259 (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
- Organization subpart
- No
Authorized official
- Name
- Lee L Cafferty, MD, MD
- Title
- Ceo
- Phone
- (320) 231-4500
Practitioners 61
-
Leah Ann Dvorak, DO
-
Raquel Kay Walsh Jahnke, DO, MBA
-
Scott Matthew Abrams, M.D.
-
Malik Ahmad, M.D.
-
Angela L Beyerl, FNP-BC
-
Jackie L Collins, CNP
-
Anjali Dahiya, M D
-
Ryan R. Davis, D.O.
-
Lee M Haggenjos, MD
-
Shih-an John Hsieh, M.D.
-
Martin Heinz Janning, M.D.
-
Gemma C Lim, MD, FACP
-
Jay E Loeppke, C.R.N.A.
-
Joseph Michael Mayland, D.O.
-
Ann T McIntosh, MD
-
Catherine Rae Miller, ED.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070509000225 | MN | Part B Supplier - Clinic/Group Practice | 7911003835 |
Receives reassigned benefits from 4 practitioners Practice locations: Benson, MN; Litchfield, MN; Madison, MN; Montevideo, MN; Olivia, MN; Willmar, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | PF 259 | MN | Yes |
Addresses
Primary practice location
301 Becker Ave SW
Willmar, MN 56201-3302
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other providers in Willmar, MN
- Catherine Rae Miller
- Morgan Miller
- Thomas Henry Miller
- Ashley Caroline Millner
- Lucio R. Minces
- Minnesota Speciality Health Systems Willmar
- Jenell Ruth Mitteness
- Ritchie D. Mjelde
- Katherine Abigail Moberg
- Kari Lynn Mobley
All providers in Willmar, MN · Anatomic Pathology & Clinical Pathology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.