ERICA MARIE BOHLKE (NPI# 1053810846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053810846 |
Entity Type | Individual |
Full Name | ERICA MARIE BOHLKE |
Credential | PA-C |
Practice Address |
1158 Island Blvd Welch MN 55089-9540 |
Mailing Address |
8636 Savanna Oaks Bay Unit B Woodbury MN 55125-9547 |
Practice Telephone | 6513854148 |
Mailing Telephone | 6512317632 |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12588 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1158 ISLAND BLVD |
City | WELCH |
State | MN |
Zip Code | 55089-9540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558440164 | Michael Cowan | Surgery | 1158 Island Blvd, Welch, MN 55089-9540 | 2006-11-03 |
1144784786 | Marla Decker | Nurse Practitioner | 1158 Island Blvd, Welch, MN 55089-9540 | 2019-01-28 |
1073050761 | Piic Clinical Services | Clinic/Center | 1158 Island Blvd, Welch, MN 55089-9540 | 2017-01-19 |
1821305129 | Prairie Island Indian Community | Clinic/Center | 1158 Island Blvd, Welch, MN 55089-9540 | 2010-09-08 |
1881901114 | Bernice Kae Ronningen | Licensed Practical Nurse | 1158 Island Blvd, Welch, MN 55089-9540 | 2010-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568075356 | James Kuhaulua | Massage Therapist | 10 Old Deerfield Rd, Welch, MN 55089-9515 | 2020-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952814 | Maura Smith | Technician | 82 Little Egypt Rd, Welch, WV 24801-2922 | 2020-11-03 |
1144821687 | Amy Marie Dotson | Technician | 124973 Loop Seven Highway, Welch, WV 24801 | 2020-11-02 |
1386243947 | Lora Bailey | Technician | Riverside Dr, Welch, WV 24801 | 2020-10-23 |
1245839141 | Betty Ann Sprouse | Technician | 160 Grandview St, Welch, WV 24801-2110 | 2020-10-21 |
1215543038 | Tymeisha Saunders | Technician | 47 Riverside Dr Apt 14, Welch, WV 24801-2538 | 2020-09-17 |
1174138515 | Amy Lee West | Nurse Practitioner | 454 Mcdowell St Ste B, Welch, WV 24801-2029 | 2020-09-12 |
1568075356 | James Kuhaulua | Massage Therapist | 10 Old Deerfield Rd, Welch, MN 55089-9515 | 2020-08-31 |
1053924142 | Brittany Rotenberry | Technician | 173 Virginia Ave, Welch, WV 24801-2436 | 2020-08-28 |
1548873904 | Lora Jane Lambert | Technician | 12 Willis Ways Rd, Welch, WV 24801-9781 | 2020-08-26 |
1245842491 | Brittany S Copley | Technician | 299 Beech St, Welch, WV 24801-2307 | 2020-08-19 |
Find all providers in WELCH |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396177333 | Donna Flaim | Physician Assistant | 19771 Coal Heritage Road Suite102, Welch, WV 24801 | 2013-08-01 |
1821437617 | Joshua Matthew Hopkins | Physician Assistant | 19771 Coal Heritage Road Suite 102, Welch, WV 24801 | 2013-06-14 |
1154553212 | Michael Douglas Walker | Physician Assistant | 19771 Coal Heritage Rd, Welch, WV 24801-9825 | 2009-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
Find all providers with the same taxonomy |
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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.