PAMELA JO SHULTZ (NPI# 1043373426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043373426 |
| Entity Type | Individual |
| Full Name | PAMELA JO SHULTZ |
| Credential | MD |
| Practice Address |
1700 University Ave W Fl 6 Saint Paul MN 55104-3727 |
| Mailing Address |
8603 Cherrywood Trl N Lake Elmo MN 55042 |
| Practice Telephone | 6512322273 |
| Practice Fax Number | 6512324953 |
| Mailing Telephone | 6122400873 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
31954 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15251 Pleasant Valley Rd, Re 16, Center City, MN 550129640 | 6512134761 | 6512134534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164738670 | Pamela Marie Shultz | Physical Therapist | 17450 S La Canada Dr, Sahuarita, AZ 85629-9718 | 2010-08-20 |
| Street Address |
1700 UNIVERSITY AVE W FL 6 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164498739 | Alain F Broccard | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2006-02-24 |
| 1912497041 | Pamela Jenness Freske | Psychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2018-05-15 |
| 1376059188 | Meghan Kerry Dunnigan | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-12-17 |
| 1699209643 | Jennifer Leafblad | Social Worker | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-04-17 |
| 1033641758 | Megan Lifto | Clinical Nurse Specialist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-03-31 |
| 1841737814 | Alyssa Edwards | Registered Nurse | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-27 |
| 1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
| 1801346093 | Caroline Kuria | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2016-10-11 |
| 1902294358 | Dana Alexandra Peterson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2015-01-07 |
| 1225426174 | Hayley Maxwell | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659394815 | John Richard Stroemer | Internal Medicine | 1121 Jackson St Ne, Suite 105, Minneapolis, MN 55413-1672 | 2006-07-26 |
| 1871915470 | Valley Pain Relief and Wellness Center, Pllc | Internal Medicine | 2428 E 117th St, Burnsville, MN 55337-1269 | 2014-01-16 |
| 1144400011 | River of Life Services LLC | Internal Medicine | 6200 Excelsior Blvd, #202, St Louis Park, MN 55416-2730 | 2007-11-08 |
| 1457560708 | Jerome E Schulz | Internal Medicine | 11505 36th Ave N, Plymouth, MN 55441-2304 | 2007-05-22 |
| 1013952175 | Charles P Reznikoff | Internal Medicine | 807 Park Ave, Minneapolis, MN 55404-1136 | 2006-06-20 |
| 1639116924 | Milton L Bullock | Internal Medicine | 914 S 8th St, S131, Minneapolis, MN 55404-1210 | 2006-06-02 |
| 1508803610 | Gavin B Bart | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2006-05-31 |
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on PAMELA JO SHULTZ.
| 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.