Provider Demographics
NPI:1235129644
Name:PILLOTE, KATHERINE E (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:PILLOTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CENTRACARE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303
Mailing Address - Country:US
Mailing Address - Phone:320-229-5000
Mailing Address - Fax:320-229-5184
Practice Address - Street 1:1900 CENTRACARE CIRCLE
Practice Address - Street 2:
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303
Practice Address - Country:US
Practice Address - Phone:320-229-5000
Practice Address - Fax:320-229-5184
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN45467207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
171411OtherU CARE
3300116OtherMEDICA HEALTH PLANS
1033284OtherPREFERRED ONE
1756781OtherARAZ GROUP AMERICAS PPO
487R2PIOtherBLUE CROSS BLUE SHIELD
MN45467OtherLICENSE NUMBER
2129264OtherFIRST HEALTH PLAN
225919200OtherMEDICAL ASSISTANCE
501S7PIOtherBLUE CROSS BLUE SHIELD
HP37508OtherHEALTH PARTNERS
HP37508OtherHEALTH PARTNERS
MNBP5549401OtherDEA
G75212Medicare UPIN