Kyle Shipley Diagnostic Radiology
166 4th St E, Saint Paul, MN 55101-1421


Kyle Shipley is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1841408200. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6507995339. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is TOWNER COUNTY MEDICAL CENTER INC. The address is 166 4th St E, Saint Paul, MN 55101-1421. The zip code is 55101.


Kyle Shipley · 166 4th St E, Saint Paul, MN 55101-1421

Nation Provider ID 1841408200
PAC ID by PECOS 6507995339
Professional Enrollment ID I20150521002513
Last Name SHIPLEY
First Name KYLE
Gender M
Medical School Name UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 2005
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty TOWNER COUNTY MEDICAL CENTER INC
Phone Number 6512922110
Group Practice PAC ID 6800798497
Number of Group Practice Members 23
Address 166 4TH ST E
SAINT PAUL, MN 551011421
Claims Based Hospital Affiliation Claim Control Number (CCN): 240106
Legal Business Name: REGIONS HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240063
Legal Business Name: ST JOSEPH'S HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240210
Legal Business Name: HEALTHEAST ST JOHN'S HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240213
Legal Business Name: HEALTHEAST WOODWINDS HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240038
Legal Business Name: UNITED HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 166
route: 4th Street East (4th St E)
neighborhood, political: Downtown
locality, political: Saint Paul (St Paul)
admin_level_2, political: Ramsey County
admin_level_1, political: Minnesota (MN)
country, political: United States (US)
postal_code: 55101
types : street_address
latitude: 44.9472572
longitude: -93.0880462
latlng: (44.9472572, -93.0880462)


Towner County Medical Center Inc · Medicare Physician

Name Address Specialty
Benjamin Bucher Hwy 281 N, Cando, ND 58324-0688 NURSE PRACTITIONER
Grant Lannoye Hwy 281 N, Cando, ND 58324-0688 PHYSICIAN ASSISTANT
Jeana Jorde Hwy 281 N, Cando, ND 58324-0688 PHYSICIAN ASSISTANT
Richard Aizpuru 166 4th St E, Saint Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Samuel Held Hwy 281 N, Cando, ND 58324-0688 NURSE PRACTITIONER
Jessica Larson Hwy 281 N, Cando, ND 58324-0688 NURSE PRACTITIONER
Anil Potti Hwy 281 N, Cando, ND 58324-0688 MEDICAL ONCOLOGY

Zip 55101 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Ryan Whitesell 166 4th St E, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Eric Carolan 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Anne Weisensee 168 6th St E, St Paul, MN 55101-1947 DIAGNOSTIC RADIOLOGY
Lester Fahrner 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Jonathan Phelan 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Don Wiese 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Richard Aizpuru 166 4th St E, Saint Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Bruce Berens 166 4th St E, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Jeffrey Phelan 166 4th St E, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Steven Hommeyer 166 4th St E, Saint Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Joshua Johnson 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Peter Wold 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Kristin Lieberman 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Thomas Bryson 166 4th St E, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Robert Weinmann 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Frank Maguire 200 E University Ave, Saint Paul, MN 55101-2507 DIAGNOSTIC RADIOLOGY
Alexandra Muschenheim 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Jeff Werner 166 4th St E, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY
Benjamin Gilloon 166 E 4th St, St Paul, MN 55101-1421 DIAGNOSTIC RADIOLOGY

Zip 55101 · Medicare Physician

Name Address Specialty
Margaret Gallus 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Joshua Wahl 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Lucianna Baregi 640 Jackson St, Saint Paul, MN 55101-2502 PHYSICAL THERAPY
George Caucutt 640 Jackson St, Saint Paul, MN 55101-2502 ANESTHESIOLOGY
Marlene Kiester 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Jennifer Powers 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Kari Pantekoek 640 Jackson St, Saint Paul, MN 55101-2502 SPEECH LANGUAGE PATHOLOGIST
Aaron Gross 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Katherine Clinch 640 Jackson St, Saint Paul, MN 55101-2502 ANESTHESIOLOGY
Laura Werneke 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Heather Cummings 640 Jackson St, Saint Paul, MN 55101-2502 SPEECH LANGUAGE PATHOLOGIST
Robin Peterson 640 Jackson St, Saint Paul, MN 55101-2502 PHYSICAL THERAPY
Robert Barratt 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Delsey Sieg 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Kevin Spaeth 640 Jackson St, Saint Paul, MN 55101-2502 ANESTHESIOLOGY
Marie Jean Tarum 640 Jackson St, Saint Paul, MN 55101-2502 CERTIFIED REGISTERED NURSE ANESTHETIST
Heather Rich 200 E University Ave, Saint Paul, MN 55101-2507 PHYSICIAN ASSISTANT
Jeffrey Richards 190 E 5th St, Saint Paul, MN 55101-1623 PSYCHIATRY
Norman Reznicow 101 E 5th St, Saint Paul, MN 55101-1862 OPTOMETRY
Timothy Feyma 200 E University Ave, Saint Paul, MN 55101-2507 PHYSICAL MEDICINE AND REHABILITATION