Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063856094 Individual Practitioner Female Practitioner

Dr. Danielle Marie Deanovich , DO

Pediatrics • Stillwater, MN

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Deanovich, DO is a registered healthcare professional specializing in Pediatrics in Stillwater, MN. Practice services are available at 1500 CURVE CREST BLVD W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Curve Crest Blvd W

Stillwater, MN 550826040

Telephone 6517021234
Fax 6512753325
Associated Practice Facility / Clinic
🏢 Stillwater Medical Group Facility NPI 1558350488

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Stillwater, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Stillwater, MN (1325 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 72095

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Eric Meinberg , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1023060993

Doctor of Medicine (M.D.)

Laura Meyer , NP

Nurse Practitioner

NPI 1043272370

Nurse Practitioner

Mara Logerquist , MS, CF-SLP

Speech-Language Pathologist

NPI 1043826019

Master of Science, Clinical Fellow in Speech-Language Pathology

NPI 1063642965

Doctor of Medicine (M.D.)

NPI 1083110241

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Master of Public Health

NPI 1114189313

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 27, 2022

Registered at 1500 CURVE CREST BLVD W, STILLWATER, MN 550826040 (Tel: 6517021234)

📍
Updated Business Mailing Address July 27, 2022

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516

👤
Provider Name / Credentials Updated July 27, 2022

Recorded as DANIELLE DEANOVICH, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2022

Pediatrics (License #72095 in MN)

NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2016

Registered at 2201 SOUTH AVE, SOUTH LAKE TAHOE, CA 961507025 (Tel: 5305435623)

📍
Updated Business Mailing Address August 16, 2016

Registered at 1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 961506207 (Tel: 5305435659)

👤
Provider Name / Credentials Updated August 16, 2016

Recorded as DANIELLE PRIEM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Pediatrics (License #20A14844 in CA)

🟢
Initial NPI Registration & Enumeration April 22, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063856094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2013
Last Update: July 27, 2022
Sole Proprietor: No

Mailing Address

8170 33rd Ave S # Ms 21110q

Minneapolis, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.