Unknown Individual – Pediatric Cardiology Physician, NPI 1740273374
Pediatric Cardiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States
SAINT CLOUD, MN 563032735
Phone: (320) 252-5131
Fax: (320) 240-2118
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | MN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 51 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Physician Assistant | MN | |
| Orthopedic Surgery | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| N E U R O L O G Y | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Physical Medicine And Rehabilitation | MN |
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