JASON VAN VALKENBURG (NPI# 1093001042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093001042 |
Entity Type | Individual |
Full Name | JASON VAN VALKENBURG |
Credential | M.D. |
Practice Address |
640 Jackson St # Mc11102f Saint Paul MN 55101-2502 |
Practice Telephone | 6512543666 |
Mailing Telephone | 6512543666 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2017-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 13270 | ND | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
640 JACKSON ST # MC11102F |
City | SAINT PAUL |
State | MN |
Zip Code | 55101-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407821440 | Deborah Ann Vogl | Physician Assistant | 640 Jackson St # Mc11102f, Saint Paul, MN 55101-2595 | 2006-02-22 |
1295116879 | Bradford Christian Hansen | Student in an Organized Health Care Education/Training Program | 640 Jackson St # Mc11102f, Saint Paul, MN 55101-2502 | 2015-06-09 |
1891175618 | Matthew Jones | Emergency Medicine | 640 Jackson St # Mc11102f, Saint Paul, MN 55101 | 2015-06-06 |
1497132625 | Hilary Royston | Student in an Organized Health Care Education/Training Program | 640 Jackson St # Mc11102f, Saint Paul, MN 55101-2502 | 2015-04-27 |
1326206509 | Jonathan Michael Harper | Physician Assistant | 640 Jackson St # Mc11102f, Saint Paul, MN 55101-2502 | 2008-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
Find all providers in zip 55101 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255665873 | Andrew Peter Schippel | Emergency Medicine | 333 N. Smith Ave, Saint Paul, MN 55102-2344 | 2009-09-29 |
1235399908 | Justin Pattee | Emergency Medicine | 333 N Smith Ave, United Hospital Emergency Department, Saint Paul, MN 55102 | 2008-06-16 |
1821002197 | Verna C Arcedo | Emergency Medicine | 5001 Northwest Dr, Saint Paul, MN 55111-3033 | 2006-07-29 |
1144276783 | Allen Keith Wesley | Emergency Medicine | 799 Reaney Ave, Saint Paul, MN 55106-4412 | 2006-05-25 |
1437107422 | Daniel D Foley | Emergency Medicine | 1661 Saint Anthony Ave Fl 2, Saint Paul, MN 55104-7633 | 2006-05-04 |
1639133374 | Frank B Lee | Emergency Medicine | 10195 Bridgewater Cir, Saint Paul, MN 55129-8598 | 2006-04-12 |
1508841735 | William Harrison Eelkema | Emergency Medicine | 538 Dayton Ave, Saint Paul, MN 55102-1710 | 2005-12-09 |
1154961795 | Lindsey Johnson | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-01-12 |
1619524543 | Lukas Lundgren | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2019-08-26 |
1508359886 | Andrew Hasebroock | Emergency Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2018-06-11 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55101 |
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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.