| Healtheast Professional Services | |
|
1700 University Ave W 6th Floor West Saint Paul MN 55104-3727 | |
| (651) 232-2273 | |
| (651) 232-4953 |
| Full Name | Healtheast Professional Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Maureen Ring (DIRECTOR NETWORK RELATIONS AO) |
| Authorized Official Contact | 6126726740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healtheast Professional Services 1700 University Ave W Saint Paul MN 55104-3727 Ph: (612) 672-6740 | Healtheast Professional Services 1700 University Ave W 6th Floor West Saint Paul MN 55104-3727 Ph: (651) 232-2273 |
| NPI Number | 1508191552 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Medicare PECOS PAC ID | 3971407636 |
|---|---|
| Medicare Enrollment ID | O20191218002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508191552 | NPI | - | NPPES |
| Provider Name | Thomas A Weber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154307916 PECOS PAC ID: 5193621498 Enrollment ID: I20080616000515 |
| Provider Name | Daniel Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063405561 PECOS PAC ID: 8527969989 Enrollment ID: I20100712000337 |
| Provider Name | David M Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386637882 PECOS PAC ID: 6901707355 Enrollment ID: I20100712000371 |
| Provider Name | Timothy Franklin Steinmetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043203540 PECOS PAC ID: 6800797259 Enrollment ID: I20100714000899 |
| Provider Name | Jeffrey David Larsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104819622 PECOS PAC ID: 3173424538 Enrollment ID: I20100715000089 |
| Provider Name | Jon V Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467453597 PECOS PAC ID: 0547289787 Enrollment ID: I20100831000705 |
| Provider Name | Michael David Garr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457325904 PECOS PAC ID: 9537066196 Enrollment ID: I20101101000250 |
| Provider Name | Thomas Hagge Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730148560 PECOS PAC ID: 1153228713 Enrollment ID: I20101101000384 |
| Provider Name | Mitchell A Timmons |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285806182 PECOS PAC ID: 3173791621 Enrollment ID: I20110727000626 |
| Provider Name | James R Natwick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912916388 PECOS PAC ID: 0749202091 Enrollment ID: I20190705000478 |
| Provider Name | Mindy Kaye Dombrovski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093033805 PECOS PAC ID: 0345373239 Enrollment ID: I20191001000016 |
| Provider Name | Sara Jennerjohn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023670882 PECOS PAC ID: 1254666043 Enrollment ID: I20200124001019 |
| Provider Name | Mary J Kempf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972572873 PECOS PAC ID: 0648204388 Enrollment ID: I20200124001192 |
| Provider Name | Justin Halbe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356667984 PECOS PAC ID: 8123347713 Enrollment ID: I20200127002424 |
| Provider Name | Courtney Seaborg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801281944 PECOS PAC ID: 4385986603 Enrollment ID: I20200204001977 |
| Provider Name | Nancy Wiedmeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659651065 PECOS PAC ID: 7618235581 Enrollment ID: I20200420000356 |
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