GWEN P NORDAHL (NPI# 1003004318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003004318 |
| Entity Type | Individual |
| Full Name | GWEN P NORDAHL |
| Credential | PA-C |
| Practice Address |
712 South Cascade Street Fergus Falls MN 56537-2813 |
| Practice Telephone | 2187368000 |
| Practice Fax Number | 2187368757 |
| Mailing Telephone | 2187368000 |
| Mailing Fax Number | 2187368757 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2010-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1065 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
712 SOUTH CASCADE STREET |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259973 | Jeffrey A Horak | Surgery | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2005-07-18 |
| 1083847685 | Heidi A Ottenbacher | Optometrist | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2009-08-29 |
| 1437231750 | Michael J Vanvalkenburg | Emergency Medicine | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-19 |
| 1033205638 | Jerilyn J. Mitchell | Clinical Nurse Specialist | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-04 |
| 1992898936 | Janice Helena Needham Spies | Dietitian, Registered | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-02 |
| 1659464683 | Paul Sanderson | Audiologist | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-02 |
| 1588765853 | Edward A Williams | Orthopaedic Surgery | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-26 |
| 1437250800 | Robert A Vennerstrom | Family Medicine | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-26 |
| 1902906225 | Gregory M. Smith | Pathology | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-25 |
| 1326148446 | Wade T Swenson II | Internal Medicine | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616693 | Ellyn C Hexum | Physician Assistant | 111 W Vernon Ave, Fergus Falls, MN 56537-2741 | 2019-12-20 |
| 1205498656 | Alyse Engen | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2019-07-07 |
| 1245700368 | Ashley Nicole Hunstiger | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2018-12-01 |
| 1336615392 | Matthew Benjamin Hintz | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2018-10-17 |
| 1922491877 | Kayla Glanz | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537 | 2015-03-16 |
| 1720038029 | Jill Lesly Baldwin | Physician Assistant | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
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| 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.