Unknown Individual – Anesthesiology Physician, NPI 1619089075
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Eagle Point Boulevard, Lake Elmo, Washington County, Minnesota, 55125, United States
LAKE ELMO, MN 550428628
Phone: (651) 251-8021
Fax: (651) 251-8050
Type: Mailing
69, Exchange Street West, Downtown, Saint Paul, Ramsey County, Minnesota, 55102, United States
SAINT PAUL, MN 551021004
Phone: (651) 735-0501
Fax: (651) 735-1870
Type: Location
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55042)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | MN | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 21 | 21 |
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