KAGEN ARTHUR WAAGE (NPI# 1154648921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154648921 |
| Entity Type | Individual |
| Full Name | KAGEN ARTHUR WAAGE |
| Practice Address |
410 4th St Nw Mahnomen MN 56557-4208 |
| Practice Telephone | 2189352514 |
| Practice Fax Number | 2189352720 |
| Mailing Telephone | 2189352514 |
| Mailing Fax Number | 2189352720 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2012-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 71062 | 05 |
| Street Address |
410 4TH ST NW |
| City | MAHNOMEN |
| State | MN |
| Zip Code | 56557-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306887286 | Talitha M. Sannes-venhuizen | Family Medicine | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2006-06-09 |
| 1972974749 | Macey Schaefbauer | Physician Assistant | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2015-10-19 |
| 1306221460 | Muluh F Fondong | Nurse Practitioner | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2015-07-29 |
| 1013332683 | Kristen Hemmingsen | Nurse Practitioner | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2014-02-19 |
| 1154617256 | Joeanna L Larson | Nurse Practitioner | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2011-06-27 |
| 1598937799 | Irum Iqbal | Family Medicine | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2008-03-27 |
| 1497776611 | Gretchen Bea Rockstad | Dietitian, Registered | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2006-07-22 |
| 1831131234 | Sanford Clinic North | Family Medicine | 410 4th St Nw, Mahnomen, MN 56557-4208 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755166 | Elizabeth Marie Engum | Nurse Practitioner | 410 North 4th Street, Mahnomen, MN 56557 | 2018-10-01 |
| 1184127474 | Anne Huschle | Health Educator | 785 Us Highway 59, Mahnomen, MN 56557 | 2018-03-13 |
| 1780120857 | Nicole Dyrdahl | Pharmacist | 211 South Main St, Mahnomen, MN 56557 | 2017-01-13 |
| 1417316902 | White Earth Band of Ojibwe | Community/Behavioral Health | 2515 Workforce Center Road, Mahnomen, MN 56557 | 2016-02-12 |
| 1114337268 | Mahnomen Area Assisted Living Center Inc | Assisted Living Facility | 314 West Jefferson Ave, Mahnomen, MN 56557 | 2014-04-29 |
| 1073955043 | Vanessa Diramos Gil | Student in an Organized Health Care Education/Training Program | 410 W 4th Street, Mahnomen, MN 56557 | 2013-07-19 |
| 1588746465 | Mahnomen Isd #432 | Local Education Agency (LEA) | 209 1st St Sw, Mahnomen, MN 56557 | 2006-10-19 |
| 1558463877 | White Earth Band of Chippewa | Substance Abuse Rehabilitation Facility | 2388 State Hwy 200, Mahnomen, MN 56557 | 2006-09-05 |
| 1992346373 | Brenda Geray | Registered Nurse | 211 S Main St, Mahnomen, MN 56557 | 2019-10-07 |
| 1871683714 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 211 South Main Street, Mahnomen, MN 56557 | 2006-10-13 |
| Find all providers in zip 56557 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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.