RANDY E WUORI (NPI# 1134134968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134134968 |
| Entity Type | Individual |
| Full Name | RANDY E WUORI |
| Credential | PA-C |
| Practice Address |
135 Dahlia St Mahtomedi MN 55115-1632 |
| Practice Telephone | 6516532089 |
| Mailing Telephone | 6516532089 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2045 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10143 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
135 DAHLIA ST |
| City | MAHTOMEDI |
| State | MN |
| Zip Code | 55115-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1730471517 | Erin Jeanine Schmidt | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2011-05-11 |
| 1770710972 | Perri Lynn Kauls | Dentist | 12 Long Lake Road, Number 12, Mahtomedi, MN 55115 | 2009-06-15 |
| 1538218284 | Mahtomedi Natural Care Center | Chiropractor | 1526 Mahtomedi Ave, Mahtomedi, MN 55115 | 2007-01-10 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1295824126 | City of Mahtomedi | Ambulance | 800 Stillwater Rd, Mahtomedi, MN 55115 | 2006-10-11 |
| 1730125063 | Richard Winfield Copeland Jr. | Dentist | 130 Hickory St, Mahtomedi, MN 55115 | 2006-06-22 |
| 1922475920 | Group Health Plan, Inc. | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2015-08-25 |
| 1871132308 | Tyler Jordan Depaulis | Chiropractor | 12 Long Lake Rd Ste 19, Mahtomedi, MN 55115-1200 | 2020-01-01 |
| 1205214525 | Brittany Greeder | Specialist/Technologist | 9960 Justen Trl N, Mahtomedi, MN 55115-1328 | 2015-05-07 |
| Find all providers in zip 55115 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
| 1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
| 1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
| 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.