Dr. David G Detert
Family Medicine

Address: 1705 N Highway 20, Cannon Falls, MN 55009-1187
Phone: 5072883443

Dr. David G Detert (NPI# 1902872641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1902872641
Entity Type Individual
Full Name Dr. David G Detert
Credential MD
Gender Male
Practice Address 1705 N Highway 20
Cannon Falls
MN 55009-1187
Practice Telephone 5072883443
Practice Fax Number 5075296622
Mailing Address Po Box 441
520 South Sibley Ave
Litchfield
MN 55355
Mailing Telephone 3206933233
Mailing Fax Number 3206933290
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-02-23
Last Update Date 2014-03-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 23504 MN

Other Provider Identifier

State Identifier Issuer Type Code
MN 467805200 MEDICAID

Physician Overview

NPI 1902872641
PAC ID by PECOS 4587621826
Professional Enrollment ID I20041217000542
Full Name David G Detert
Organization Legal Name OLMSTED MEDICAL CENTER
Phone Number 5078242217
Gender M
Credential MD
Graduation Year 1976
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 8527970060
Number of Group Practice Members 225
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240006 OLMSTED MEDICAL CENTER

Office Location

Street Address 1705 N HIGHWAY 20
City CANNON FALLS
State MN
Zip Code 55009-1187

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952813784 Curtis John Beissel Physical Therapist 32021 Count 24 Blvd, Cannon Falls, MN 55009 2017-11-02
1588175004 Alicia Marie Bonderson Physical Therapist 32021 Cty 24 Blvd, Cannon Falls, MN 55009 2017-10-24
1316399330 Amy Lee Mcalister Nurse Practitioner 32021 County Rd 24 Blvd., Cannon Falls, MN 55009 2016-07-02
1265773295 Gregory Marcus Schwartz Pharmacist 108 North 4th, Cannon Falls, MN 55009 2013-03-15
1184637753 Mark J Juetten Dentist 31378 Co 24 Blvd, Cannon Falls, MN 55009 2006-08-14
1063435410 Mayo Clinic Health System-southeast Minnesota Region General Acute Care Hospital 32021 County Road 24 Blvd., Cannon Falls, MN 55009 2006-07-26
1497711089 Nadia Maradiaga Weber Dentist 925 4th Street South, Cannon Falls, MN 55009 2006-04-24
1881997070 Weber Family Dentistry LLC Dentist 925 4th Street South, Cannon Falls, MN 55009 2010-12-10
1790791077 Mayo Clinic Health System-southeast Minnesota Region Medicare Defined Swing Bed Unit 32021 County Road 24 Blvd., Cannon Falls, MN 55009 2006-07-31
1164489266 Gregory Stephen Weber Dentist 925 4th Street South, Cannon Falls, MN 55009 2006-05-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356369201 Alice Rosalie Suchomel Family Medicine 1122 Mill St W, Cannon Falls, MN 55009-1824 2006-07-18
1205023686 Alexander W Stricker Family Medicine 1116 Mill St W, Cannon Falls, MN 55009-1824 2007-09-28
1134143175 Gail Mae Olson Family Medicine 1116 Mill St W, Cannon Falls, MN 55009-1824 2006-07-26
1790703551 Tarlochan Singh Turna Family Medicine 1116 Mill St W, Cannon Falls, MN 55009-1824 2006-07-18
1376500959 Thomas W Nordahl Family Medicine 1116 Mill St W, Cannon Falls, MN 55009-1824 2006-04-27
1457312662 Brian Lee Whited Family Medicine 1116 Mill St W, Cannon Falls, MN 55009-1824 2006-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558832055 Hometown Physician Services Md, S.c. Family Medicine 10025 Antrim Ct, Woodbury, MN 55129-9341 2018-12-09
1083189203 Altru Health System Family Medicine 23076 347th St Se, Erskine, MN 56535-9466 2018-10-04
1477039204 Dollar Clinic Pllc Family Medicine 1002 1st Ave N, Moorhead, MN 56560-2003 2018-07-16
1861989832 Nicole Eleanor J Lovat Family Medicine Mayo Clinic Health System-southeast Minnesota Region, 1000 1st Dr Nw, Austin, MN 55912-4249 2018-04-16
1689170805 Patrick Bartholomew Herson Family Medicine 1788 Hubbard Ave, Saint Paul, MN 55104-1134 2018-04-05
1336645282 Jason Derek Greenwood Family Medicine Mayo Clinic 200 1st Street Sw, Rochester, MN 55905 2018-03-31
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1659886505 Pipe Trade Services Family Health Family Medicine 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121-1675 2017-12-13
1366961542 Doreen Lubi Isubikalu Family Medicine 2330 Sioux Trail Nw, Prior Lake, MN 55372 2017-09-19
1144745308 Catherine Marie Pollock Family Medicine 5700 Bottineau Blvd Ste 100, Crystal, MN 55429-3184 2017-08-09
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Competitor

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City CANNON FALLS
Zip Code 55009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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