MS. RACHEL ANN GOLDBERG (NPI# 1073819470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073819470 |
Entity Type | Individual |
Full Name | MS. RACHEL ANN GOLDBERG |
Credential | PA-C |
Practice Address |
2831 Snelling Ave N Roseville MN 55113-2460 |
Mailing Address |
8170 33rd Ave S Ms: 21110q Bloomington MN 55425-4516 |
Practice Telephone | 9529676620 |
Practice Fax Number | 6517655901 |
Mailing Telephone | 9529676620 |
Mailing Fax Number | 6517655901 |
Enumeration Date | 2011-02-02 |
Last Update Date | 2016-11-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 12161 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | 014522-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03334109 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208361 | Rachel Goldberg | Social Worker | 400 E 54th St Apt 2d, New York, NY 10022-5165 | 2020-09-02 |
1245725753 | Rachel Goldberg | Genetic Counselor, MS | 1 Medical Center Blvd Department of Medical Genetics, Winston Salem, NC 27157-0001 | 2018-06-27 |
1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
1346698750 | Rachel Goldberg | Occupational Therapist | 9903 Gable Ridge Ter, Unit A, Rockville, MD 20850-4633 | 2016-05-25 |
1629395066 | Rachel B Goldberg | Psychiatry & Neurology | 3025 Hamaker Ct Ste 290, Fairfax, VA 22031-2237 | 2010-04-26 |
1164088084 | Rachel Lauren Goldberg | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-05-15 |
1023581386 | Rachel Morgan Goldberg | Behavior Technician | 31557 Schoolcraft Rd Ste 200, Livonia, MI 48150-1848 | 2019-01-09 |
1689184863 | Rachel Leah Goldberg | Social Worker | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 | 2017-10-02 |
1700285079 | Rachel Samantha Goldberg | Dentist | 2 E Rollins Rd, Suite 202, Round Lake Beach, IL 60073-3808 | 2014-08-22 |
1306267448 | Rachel Goldberg | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2013-12-16 |
Street Address |
2831 SNELLING AVE N |
City | ROSEVILLE |
State | MN |
Zip Code | 55113-2460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386628253 | Graham M Oxnard | Family Medicine | 2831 Snelling Ave N, Roseville, MN 55113-1712 | 2005-12-02 |
1457870594 | Maja Margret Schiemo | Registered Nurse | 2831 Snelling Ave N, Roseville, MN 55113 | 2017-09-10 |
1992151393 | Christopher Leonard | Family Medicine | 2831 Snelling Ave N, Roseville, MN 55113-1712 | 2016-05-04 |
1114371614 | Kari Lea Halvorson | Family Medicine | 2831 Snelling Ave N, Roseville, MN 55113 | 2016-04-20 |
1811354244 | Natalie Hope Pautsch | Physician Assistant | 2831 Snelling Ave N, Roseville, MN 55113-1712 | 2016-01-14 |
1437536927 | Andrea Mulhausen Johnson | Family Medicine | 2831 Snelling Ave N, Roseville, MN 55113 | 2015-05-04 |
1821159732 | Group Health Plan Inc | Durable Medical Equipment & Medical Supplies | 2831 Snelling Ave N, Roseville, MN 55113 | 2006-12-13 |
1396711628 | Karen L Mackenzie | Family Medicine | 2831 Snelling Ave N, Mail Stop 39601a, Roseville, MN 55113-2460 | 2006-02-27 |
1295700854 | Andrew N Nottleson | Family Medicine | 2831 Snelling Ave N, Roseville, MN 55113-1712 | 2006-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
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 |
---|---|---|---|---|
1538781372 | Jacob Adam Novick | Physician Assistant | 1346 Stonebridge Way, Roseville, CA 95661-5457 | 2020-05-14 |
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1689212482 | Meghan Licciardello | Physician Assistant | 300 Harding Blvd Ste 213, Roseville, CA 95678-2474 | 2019-12-12 |
1710541016 | Khine Mira Tian | Physician Assistant | 2780 Snelling Ave N Ste 304, Roseville, MN 55113-7125 | 2019-04-23 |
1093287161 | Michael Eugeniuscz Froniewski | Physician Assistant | 1544 Eureka Rd Ste 160, Roseville, CA 95661-3092 | 2018-12-29 |
1528547106 | Steven Charles Frank | Physician Assistant | 11801 Go for Broke Rd, Roseville, CA 95678-7055 | 2018-08-14 |
1710392196 | Linda Ly Luong | Physician Assistant | 781 Pleasant Grove Blvd Ste 170, Roseville, CA 95678 | 2014-06-24 |
1487995924 | Judy Garcia Tumber | Physician Assistant | 8727 Wentworth Ct, Roseville, CA 95747-6370 | 2013-03-07 |
1598049249 | Ann Barbeiro | Physician Assistant | 8207 Sierra College Blvd Ste 500, Roseville, CA 95661-9407 | 2011-09-29 |
1164686937 | Julie Hunn | Physician Assistant | 729 Sunrise Ave Ste 900, Roseville, CA 95661-4525 | 2008-07-10 |
Find all providers in ROSEVILLE |
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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.