JEFF DAHLQUIST (NPI# 1083165492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083165492 |
| Entity Type | Individual |
| Full Name | JEFF DAHLQUIST |
| Credential | PA-C |
| Practice Address |
135 Pine Tree Dr Bigfork MN 56628 |
| Mailing Address |
20 5th St Se Cook MN 55723-9702 |
| Practice Telephone | 2187433232 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2596 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
135 PINE TREE DR |
| City | BIGFORK |
| State | MN |
| Zip Code | 56628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778849 | Cook Area Health Services, Inc | Clinic/Center | 135 Pine Tree Dr, Bigfork, MN 56628-0135 | 2006-02-10 |
| 1821621327 | Sabrina A Seyller | Nurse Practitioner | 135 Pine Tree Dr, Bigfork, MN 56628-4346 | 2020-02-13 |
| 1407367261 | Catherine Lynn Porter | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2017-10-19 |
| 1932414935 | Kari Ann Drake | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2010-08-13 |
| 1689649915 | Jeffery P Scrivner | Family Medicine | 135 Pine Tree Dr, Bigfork, MN 56628 | 2006-02-21 |
| 1285609529 | George Edward Rounds | Family Medicine | 135 Pine Tree Dr, Bigfork, MN 56628-0135 | 2006-02-21 |
| 1912972290 | Denyse Sampson Trebs | Nurse Practitioner | 135 Pine Tree Dr, Bigfork, MN 56628-0135 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871926477 | Megan Brekke | Dietitian, Registered | 258 Pine Tree Dr, Bigfork, MN 56628 | 2013-08-19 |
| 1669585329 | Bigfork Ambulance Service Association | Ambulance | 105 Ash Street, Bigfork, MN 56628 | 2006-08-16 |
| 1851335525 | Northern Itasca Hospital District | General Acute Care Hospital | 258 Pine Tree Drive, Bigfork, MN 56628 | 2006-06-15 |
| 1649218231 | Suanne Marie Dullard | Dentist | 100 Pinetree Dr, Bigfork, MN 56628 | 2006-06-03 |
| 1861467219 | Heidi Jean Korstad | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2006-02-21 |
| 1770073322 | Lucy Helen-nevanen Corrin | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2018-05-18 |
| 1508307018 | Cook Area Health Services, Inc. | Dentist | 303 Main Ave, Bigfork, MN 56628 | 2017-03-16 |
| 1164841540 | Barret Joella Myers Wolfson | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-14 |
| 1346669348 | Chelsea Mann | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2014-04-08 |
| 1073802047 | Eric Paul Scrivner | Family Medicine | 135 Pine Tree Drive, Bigfork, MN 56628 | 2011-03-30 |
| Find all providers in zip 56628 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367261 | Catherine Lynn Porter | Physician Assistant | 135 Pine Tree Dr, Bigfork, MN 56628 | 2017-10-19 |
| 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.