| Starbuck Clinic | |
|
501 Poler St Starbuck MN 56381-2456 | |
| (320) 239-3939 | |
| (320) 239-2802 |
| Full Name | Starbuck Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Poler St, Starbuck, Minnesota |
| Authorized Official Name and Position | Kerrie Mcevilly (PRESIDENT/CEO) |
| Authorized Official Contact | 3205891313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starbuck Clinic 400 E. 1st Street Morris MN 56267 Ph: (320) 239-3939 | Starbuck Clinic 501 Poler St Starbuck MN 56381-2456 Ph: (320) 239-3939 |
| NPI Number | 1417105552 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 10/04/2022 |
| Medicare PECOS PAC ID | 3678475852 |
|---|---|
| Medicare Enrollment ID | O20040127000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417105552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Minnesota) | Primary |
| Provider Name | Stephanie J Knobloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043310386 PECOS PAC ID: 0042111429 Enrollment ID: I20040119000229 |
| Provider Name | Stanley D Kurisko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992758833 PECOS PAC ID: 0446162630 Enrollment ID: I20040124000166 |
| Provider Name | Paige W Hardy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093728131 PECOS PAC ID: 4082517214 Enrollment ID: I20040127000868 |
| Provider Name | William J Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942270681 PECOS PAC ID: 5294718623 Enrollment ID: I20040608000894 |
| Provider Name | Jody Bolton Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306846076 PECOS PAC ID: 9234116880 Enrollment ID: I20040701001188 |
| Provider Name | Amee L Gibson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639372675 PECOS PAC ID: 3173500139 Enrollment ID: I20040707000849 |
| Provider Name | Steven P Strinden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639108814 PECOS PAC ID: 1456327501 Enrollment ID: I20040913000267 |
| Provider Name | Thomas J Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043288269 PECOS PAC ID: 3971404542 Enrollment ID: I20040928000555 |
| Provider Name | Michael J Holte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699788752 PECOS PAC ID: 1254370067 Enrollment ID: I20050502000366 |
| Provider Name | Edward H Wolske |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386629046 PECOS PAC ID: 5890750152 Enrollment ID: I20050523001110 |
| Provider Name | John Andrew Dvorak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093755969 PECOS PAC ID: 2365423001 Enrollment ID: I20050601000887 |
| Provider Name | Wade T Swenson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326148446 PECOS PAC ID: 7911995725 Enrollment ID: I20050713000301 |
| Provider Name | Margie R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669572988 PECOS PAC ID: 7113948209 Enrollment ID: I20051216000405 |
| Provider Name | Curtis Binder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104875004 PECOS PAC ID: 6709897176 Enrollment ID: I20060614000205 |
| Provider Name | Andrew L Makowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770514861 PECOS PAC ID: 4385648021 Enrollment ID: I20060911000634 |
| Provider Name | Kevin T Marble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891733127 PECOS PAC ID: 0547256828 Enrollment ID: I20060918000089 |
| Provider Name | Cara A Nachbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073682597 PECOS PAC ID: 6204837305 Enrollment ID: I20070116000192 |
| Provider Name | Robert A Yost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194849166 PECOS PAC ID: 0941300610 Enrollment ID: I20070710000788 |
| Provider Name | Risa A Dorweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144396862 PECOS PAC ID: 4082707260 Enrollment ID: I20070904000416 |
| Provider Name | June Meyerhoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386822062 PECOS PAC ID: 0244317212 Enrollment ID: I20080402000120 |
| Provider Name | Mark W Doyscher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538184569 PECOS PAC ID: 2163323320 Enrollment ID: I20080612000486 |
| Provider Name | Clark W Schumacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255374450 PECOS PAC ID: 6800984964 Enrollment ID: I20080806000549 |
| Provider Name | Sara B Veldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578755740 PECOS PAC ID: 0042386559 Enrollment ID: I20080908000248 |
| Provider Name | Sarah J Sprengeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306037890 PECOS PAC ID: 9931267788 Enrollment ID: I20081022000672 |
| Provider Name | Patrick Charles Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831102995 PECOS PAC ID: 7416098397 Enrollment ID: I20100114000382 |
| Provider Name | Louise A Ferry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104985175 PECOS PAC ID: 3476696410 Enrollment ID: I20100129000711 |
| Provider Name | Jane K Willett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548236292 PECOS PAC ID: 4789727769 Enrollment ID: I20100130000350 |
| Provider Name | Olyn R Wernsing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649283730 PECOS PAC ID: 6204738495 Enrollment ID: I20100318000793 |
| Provider Name | Michael E Lair |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346253408 PECOS PAC ID: 1759418650 Enrollment ID: I20100426000178 |
| Provider Name | Somkiat T Viratyosin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801809959 PECOS PAC ID: 2769519487 Enrollment ID: I20100428000510 |
| Provider Name | Stephen Monroe Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326238338 PECOS PAC ID: 4981732567 Enrollment ID: I20100503000771 |
| Provider Name | Hoang D Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033119342 PECOS PAC ID: 8426131806 Enrollment ID: I20100612000066 |
| Provider Name | Roman H Keller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982743159 PECOS PAC ID: 0941352868 Enrollment ID: I20100717000073 |
| Provider Name | Bonnie P Fines |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861492464 PECOS PAC ID: 7618050097 Enrollment ID: I20100717000141 |
| Provider Name | Bryan J Brindley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104826551 PECOS PAC ID: 0345323721 Enrollment ID: I20100717000163 |
| Provider Name | Stephen E Kuehne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003816406 PECOS PAC ID: 3577476134 Enrollment ID: I20100717000227 |
| Provider Name | Kevin L Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194725424 PECOS PAC ID: 4789767161 Enrollment ID: I20100717000238 |
| Provider Name | Andrea V Giambi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588677645 PECOS PAC ID: 0840486502 Enrollment ID: I20101122000226 |
| Provider Name | Eric J Lewis |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467465518 PECOS PAC ID: 5496942161 Enrollment ID: I20101207000634 |
| Provider Name | Rebecca I Rogholt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346543725 PECOS PAC ID: 4082898549 Enrollment ID: I20110406000901 |
| Provider Name | Eric T Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164725511 PECOS PAC ID: 5890979306 Enrollment ID: I20110407000466 |
| Provider Name | Valerie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548354434 PECOS PAC ID: 8123035128 Enrollment ID: I20110502000177 |
| Provider Name | Nicole R Mercer Bolton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881890549 PECOS PAC ID: 5092993881 Enrollment ID: I20110627000264 |
| Provider Name | Brent B Barnstuble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720028038 PECOS PAC ID: 0749319184 Enrollment ID: I20120227000165 |
| Provider Name | Chadd Mcmahon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972782951 PECOS PAC ID: 9032373907 Enrollment ID: I20120606000356 |
| Provider Name | Brad Douglas Hilger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639103146 PECOS PAC ID: 6204005598 Enrollment ID: I20120619000103 |
| Provider Name | Toby Christie-perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538493176 PECOS PAC ID: 5991951014 Enrollment ID: I20120806000564 |
| Provider Name | Elizabeth E Meichsner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013207596 PECOS PAC ID: 4688824881 Enrollment ID: I20121024000644 |
| Provider Name | Darrin John Spoden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598925539 PECOS PAC ID: 6800035783 Enrollment ID: I20130626000116 |
| Provider Name | Louise M Dewey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407945132 PECOS PAC ID: 6709026149 Enrollment ID: I20130709000345 |
| Provider Name | Nathan B Danielson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467761130 PECOS PAC ID: 7517108491 Enrollment ID: I20130719000325 |
| Provider Name | Rebecca R Dehart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740593565 PECOS PAC ID: 8325281371 Enrollment ID: I20130823000732 |
| Provider Name | Elsaid Rabie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336427525 PECOS PAC ID: 4183867039 Enrollment ID: I20130826000588 |
| Provider Name | David M Truscinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083059075 PECOS PAC ID: 1557596236 Enrollment ID: I20131105001514 |
| Provider Name | James E Kuderer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972748119 PECOS PAC ID: 2365688017 Enrollment ID: I20131114000915 |
| Provider Name | Kristina A Kase |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609218833 PECOS PAC ID: 7810123544 Enrollment ID: I20131202000307 |
| Provider Name | James E Malkuch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053747667 PECOS PAC ID: 1850529264 Enrollment ID: I20140110000134 |
| Provider Name | Jonah H Luzier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124195235 PECOS PAC ID: 4981709284 Enrollment ID: I20140411001549 |
| Provider Name | Francis Xavier Kigozi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819751 PECOS PAC ID: 2365685617 Enrollment ID: I20140527001558 |
| Provider Name | Leslie Anne Hartman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710150321 PECOS PAC ID: 7416112164 Enrollment ID: I20140619000750 |
| Provider Name | Alyssa K Thooft |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366859456 PECOS PAC ID: 2860611472 Enrollment ID: I20140915000275 |
| Provider Name | Richard Walter Pretorius |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013900505 PECOS PAC ID: 4688561517 Enrollment ID: I20150515000330 |
| Provider Name | Brian A Brennan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376536920 PECOS PAC ID: 7618978164 Enrollment ID: I20150701002186 |
| Provider Name | Kayla Marie Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205210267 PECOS PAC ID: 1254646136 Enrollment ID: I20150821012833 |
| Provider Name | Breanna L Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447690458 PECOS PAC ID: 3971745084 Enrollment ID: I20150911001415 |
| Provider Name | Jacqueline Wollschlager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619378015 PECOS PAC ID: 4688981186 Enrollment ID: I20150916001165 |
| Provider Name | Lisa Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952778086 PECOS PAC ID: 9234439068 Enrollment ID: I20151201001930 |
| Provider Name | Justin Leblanc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437441102 PECOS PAC ID: 4385957315 Enrollment ID: I20160616002629 |
| Provider Name | Scott A Klettke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487965109 PECOS PAC ID: 2567754054 Enrollment ID: I20160701000039 |
| Provider Name | Nicholas C Mowes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245589050 PECOS PAC ID: 5092099887 Enrollment ID: I20170222001253 |
| Provider Name | Cody W Wendlandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972915882 PECOS PAC ID: 8325334964 Enrollment ID: I20170328000417 |
| Provider Name | Kevin J Turneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427032572 PECOS PAC ID: 9032161609 Enrollment ID: I20170619001228 |
| Provider Name | Jason D Huikko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730590555 PECOS PAC ID: 1052619954 Enrollment ID: I20170713002048 |
| Provider Name | Jason A Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952396160 PECOS PAC ID: 2860386331 Enrollment ID: I20170804002591 |
| Provider Name | Joel S Stoeckeler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902833122 PECOS PAC ID: 0143236208 Enrollment ID: I20180125001267 |
| Provider Name | Bailey A Dykema |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717046 PECOS PAC ID: 2769744069 Enrollment ID: I20180327000473 |
| Provider Name | Molly T Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992129811 PECOS PAC ID: 6103049861 Enrollment ID: I20180711000693 |
| Provider Name | James R Dickinson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104192541 PECOS PAC ID: 5193020097 Enrollment ID: I20180716000629 |
| Provider Name | Nicole Lovat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861989832 PECOS PAC ID: 9638423833 Enrollment ID: I20181106002052 |
| Provider Name | David Jahangir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013205947 PECOS PAC ID: 4486956174 Enrollment ID: I20181226000950 |
| Provider Name | Amy Lynn Brandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750616348 PECOS PAC ID: 4284971870 Enrollment ID: I20190118002682 |
| Provider Name | Anita Kay Johnson-hoehne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235373788 PECOS PAC ID: 4587903661 Enrollment ID: I20190307001326 |
| Provider Name | Susan L Zaic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912498486 PECOS PAC ID: 6709893134 Enrollment ID: I20190313002463 |
| Provider Name | Trisha Osheim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477747053 PECOS PAC ID: 9931433836 Enrollment ID: I20190626003229 |
| Provider Name | Kellianne Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871057646 PECOS PAC ID: 9436483989 Enrollment ID: I20190703000446 |
| Provider Name | Sagar Wagle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639667231 PECOS PAC ID: 3476889783 Enrollment ID: I20190724002774 |
| Provider Name | Nicole Raths |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962062489 PECOS PAC ID: 7315273422 Enrollment ID: I20190726002898 |
| Provider Name | John Warren Kirby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306333109 PECOS PAC ID: 0143556985 Enrollment ID: I20190731002372 |
| Provider Name | Katherine Ann Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518462316 PECOS PAC ID: 3870829674 Enrollment ID: I20190801000407 |
| Provider Name | Marco Rafael Mejia Acevedo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942705892 PECOS PAC ID: 1951639533 Enrollment ID: I20190820003372 |
| Provider Name | Annie Joseph |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306334404 PECOS PAC ID: 3072842905 Enrollment ID: I20190903000346 |
| Provider Name | Sarita Tiza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700430832 PECOS PAC ID: 2163752858 Enrollment ID: I20190923002800 |
| Provider Name | Anika Nina Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20191204000899 |
| Provider Name | Rachel Lee Arickx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144867318 PECOS PAC ID: 4688000623 Enrollment ID: I20200211000436 |
| Provider Name | Shannon L Nord |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023351533 PECOS PAC ID: 0244478121 Enrollment ID: I20200320000819 |
| Provider Name | John M Benson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154308948 PECOS PAC ID: 0547296287 Enrollment ID: I20200406000433 |
| Provider Name | Andrew Tyler Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083022198 PECOS PAC ID: 3870824527 Enrollment ID: I20200522000104 |
| Provider Name | Timothy Jay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295121234 PECOS PAC ID: 1951600550 Enrollment ID: I20200601002418 |
| Provider Name | Ashley Denton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598321507 PECOS PAC ID: 5698191229 Enrollment ID: I20200813001774 |
| Provider Name | Sneha Shukla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114580008 PECOS PAC ID: 4688909104 Enrollment ID: I20200817001214 |
| Provider Name | Daniel J O'connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093248536 PECOS PAC ID: 7517237357 Enrollment ID: I20200826003563 |
| Provider Name | Matthew P Lazio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790978260 PECOS PAC ID: 6608913942 Enrollment ID: I20201106000040 |
| Provider Name | Kyle Maurer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053773671 PECOS PAC ID: 4981998549 Enrollment ID: I20210416001117 |
| Provider Name | Jacob P Hruby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316403058 PECOS PAC ID: 8123369808 Enrollment ID: I20210617002261 |
| Provider Name | Hannah J. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396311155 PECOS PAC ID: 9234531765 Enrollment ID: I20210707001079 |
| Provider Name | Craig A Meiers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154700201 PECOS PAC ID: 3678867587 Enrollment ID: I20210813000870 |
| Provider Name | Lindsey Koop Miley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235752270 PECOS PAC ID: 3274959671 Enrollment ID: I20210824002356 |
| Provider Name | Sean Huls |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831718287 PECOS PAC ID: 3779988894 Enrollment ID: I20210826002797 |
| Provider Name | John S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003303439 PECOS PAC ID: 2769739440 Enrollment ID: I20211014002213 |
| Provider Name | Joshua B Floyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255794897 PECOS PAC ID: 5991096836 Enrollment ID: I20211222000375 |
| Provider Name | Noelle F Green |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245808880 PECOS PAC ID: 0042606907 Enrollment ID: I20220401002389 |
| Provider Name | Steven Peter Dondlinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720441959 PECOS PAC ID: 4082010905 Enrollment ID: I20220413001715 |
| Provider Name | Jeri S Plaxco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265590210 PECOS PAC ID: 8729130828 Enrollment ID: I20220525001298 |
| Provider Name | Daniel L Measel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700864055 PECOS PAC ID: 7911981881 Enrollment ID: I20220525001449 |
| Provider Name | Arthie Jeyakumar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1568818292 PECOS PAC ID: 3971983529 Enrollment ID: I20220629002065 |
| Provider Name | Taiwo Hassan Oguntade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053039818 PECOS PAC ID: 1557737772 Enrollment ID: I20221013000232 |
| Provider Name | John J Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710430301 PECOS PAC ID: 0749553857 Enrollment ID: I20221102001740 |
| Provider Name | Jesse Kavi-raj Sinanan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144630823 PECOS PAC ID: 2466679626 Enrollment ID: I20221103001054 |
| Provider Name | Blake Saltaformaggio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285875260 PECOS PAC ID: 2860610375 Enrollment ID: I20221129001167 |
| Provider Name | Susan Bridget Herberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700502309 PECOS PAC ID: 2163899881 Enrollment ID: I20230109001880 |
| Provider Name | Christopher R Welander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619405016 PECOS PAC ID: 4486921855 Enrollment ID: I20230112000430 |
| Provider Name | Sarah Marie Wilm Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972215598 PECOS PAC ID: 8628442316 Enrollment ID: I20230320002840 |
| Provider Name | Angelina Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366804221 PECOS PAC ID: 5799150553 Enrollment ID: I20230407001707 |
| Provider Name | Patrick John Scanlon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881129674 PECOS PAC ID: 0941675417 Enrollment ID: I20230414000886 |
| Provider Name | Bimal Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326331299 PECOS PAC ID: 9638475346 Enrollment ID: I20230419002866 |
| Provider Name | Anthony Hacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144883208 PECOS PAC ID: 1456686575 Enrollment ID: I20230726001081 |
| Provider Name | Christine Marie Kieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790557171 PECOS PAC ID: 5597114959 Enrollment ID: I20231211000963 |
| Provider Name | Joseph R Contarino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467491043 PECOS PAC ID: 0042105413 Enrollment ID: I20231226001444 |
| Provider Name | Ashley J Berger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588062707 PECOS PAC ID: 0840655072 Enrollment ID: I20240117001047 |
| Provider Name | Karla J Sundheim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639314594 PECOS PAC ID: 3678938818 Enrollment ID: I20240118003614 |
| Provider Name | Michelle Lynn Manthei |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609650175 PECOS PAC ID: 8729430285 Enrollment ID: I20240119002496 |
| Provider Name | Jennifer Ann Gullickson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760965156 PECOS PAC ID: 1850735143 Enrollment ID: I20240214002594 |
| Provider Name | John S Lowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164490876 PECOS PAC ID: 7517016538 Enrollment ID: I20240325001439 |
| Provider Name | Laura Breu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749833 PECOS PAC ID: 0143504118 Enrollment ID: I20240327001908 |
| Provider Name | Omar Ricardo Chavez-ramones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487774311 PECOS PAC ID: 4486749363 Enrollment ID: I20240524003535 |
| Provider Name | Christopher Felton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669423398 PECOS PAC ID: 0941308332 Enrollment ID: I20240603002652 |
Starbuck Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 496 S Main St, Starbuck, MN 56381 Phone: 320-634-4521 Fax: 320-634-2244 | |
Starbuck Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Poler St, Starbuck, MN 56381 Phone: 320-239-3939 Fax: 320-239-2802 | |
Starbuck Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Poler St, Starbuck, MN 56381 Phone: 320-239-3939 Fax: 320-239-2802 |