PEI MI (NPI# 1124346119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124346119 |
| Entity Type | Individual |
| Full Name | PEI MI |
| Credential | M.D, PH.D, MPH |
| Practice Address |
205 Wabasha St S Mail Stop: 31300a Saint Paul MN 55107-1805 |
| Practice Telephone | 6512938269 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2014-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
54788 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
205 WABASHA ST S MAIL STOP: 31300A |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184078 | Chokchai Chareandee | Internal Medicine | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2005-06-14 |
| 1699334904 | Jessica Determan | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2019-06-10 |
| 1326517541 | Julian Andres Larrea Saavedra | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-11-16 |
| 1053818252 | Mackenzie Thayer | Student in an Organized Health Care Education/Training Program | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-04-12 |
| 1215436076 | Mardiya Kassim Jaffer | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2018-02-07 |
| 1023522877 | Samantha Zarske | Physician Assistant | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-11-30 |
| 1184134173 | Ghada Elnashar | Pharmacist | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-10-04 |
| 1972022267 | Allison Brooks | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-09-18 |
| 1982132536 | Erin Galegher | Advanced Practice Midwife | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2017-05-26 |
| 1679016000 | Juliana Huber | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2016-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| 1366819609 | Brittany Leach | Advanced Practice Midwife | 624 Smith Ave S, Saint Paul, MN 55107 | 2015-08-21 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033256706 | Larry Ray Zobel | Preventive Medicine | 220 6w 08 3m Ctr, Saint Paul, MN 55144-0001 | 2007-01-31 |
| 1841518743 | Elizabeth Medina Alm | Preventive Medicine | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2010-05-17 |
| 1801024922 | Theodore L Aquino | Preventive Medicine | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2009-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605874 | Healthstat Health Center Allianz | Preventive Medicine | 5901 Golden Hills Dr, Golden Valley, MN 55416-1225 | 2020-09-24 |
| 1073997094 | Healthstat Onsite Clinic-marvin Companies | Preventive Medicine | 802 State Ave Ne, Warroad, MN 56763 | 2015-07-20 |
| 1275931206 | Healthstat On-site Clinic Watlow Winona Mn | Preventive Medicine | 1241 Bundy Blvd, Winona, MN 55987-4873 | 2014-12-08 |
| 1164769527 | Miles Smith Snowden | Preventive Medicine | 3121 W 69th St, Apt 114, Edina, MN 55435-2559 | 2013-01-05 |
| 1629328299 | Healthstat Arkansas/pace Ind.- Pti | Preventive Medicine | 310 Congress St. W, Maple Lake, MN 55358 | 2012-09-11 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1740418144 | Linda Karen Miller | Preventive Medicine | 620 16th St Sw, Rochester, MN 55902-2154 | 2009-06-24 |
| 1679673321 | Gary B Johnson | Preventive Medicine | 5100 Gamble Dr. Suite 100, Mail Stop 31200a, Healthpartners West Clinic, St. Louis Park, MN 55416-1582 | 2006-09-23 |
| 1255317376 | Michael N Goertz | Preventive Medicine | 401 Phalen Blvd - Ms 11503g, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2005-12-20 |
| 1821074337 | Robert J Gorman | Preventive Medicine | 5100 Gamble Dr Suite 100-mail Stop 31200a, Healthpartners West Clinic, St Louis Park, MN 55416-1582 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
Please comment or provide details below to improve the information on PEI MI.
| 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.