PAIGE DETERS (NPI# 1154970572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154970572 |
| Entity Type | Individual |
| Full Name | PAIGE DETERS |
| Credential | PA-C |
| Practice Address |
901 3rd St N Waite Park MN 56387-1964 |
| Practice Telephone | 3202178480 |
| Mailing Telephone | 3203528475 |
| Mailing Fax Number | 3202178490 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1160996 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0009-0918346 | 01 |
| Street Address |
901 3RD ST N |
| City | WAITE PARK |
| State | MN |
| Zip Code | 56387-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255316329 | Michael John Meighen | Physical Medicine & Rehabilitation | 901 3rd St N, Waite Park, MN 56387-1964 | 2005-12-13 |
| 1801400585 | Nicholas Schmit | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2020-09-01 |
| 1770140188 | Angela Rae Scheffler | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2019-05-21 |
| 1962994129 | Kayla Marie Dockendorf | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2018-06-04 |
| 1689050973 | Keisha N Sollie | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2015-08-10 |
| 1205219854 | Rejuv Medical, Pa | Pharmacy | 901 3rd St N, Waite Park, MN 56387-1964 | 2015-07-01 |
| 1396178398 | Julie Carol Murphy | Nurse Practitioner | 901 3rd St N, Waite Park, MN 56387-1964 | 2013-08-13 |
| 1225471881 | Whitney B Burgess | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2013-04-14 |
| 1942521513 | Brittney Lee Braegelmann | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2010-06-18 |
| 1861714875 | Terrence Joseph Keller | Physician Assistant | 901 3rd St N, Waite Park, MN 56387-1964 | 2010-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041269 | Kayli Marie Brzinski | Massage Therapist | 700 Division St, Waite Park, MN 56387 | 2020-01-03 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1467826016 | Nogob Transportion Inc | Non-emergency Medical Transport (VAN) | 427 Sundial Drive, Waite Park, MN 56387 | 2015-11-19 |
| 1790043271 | Ruth Marie Kuhlman | Psychologist | 110 2nd Street South, Suite 203, Waite Park, MN 56387 | 2012-05-02 |
| 1538463435 | Bjerke Counseling Services, LLC | Community/Behavioral Health | 110 Second Street, South, Suite 303, Waite Park, MN 56387 | 2011-01-06 |
| 1578799714 | Councseling Associates, Pa | Marriage & Family Therapist | 110 Second Street South, Suite 304, Waite Park, MN 56387 | 2009-06-02 |
| 1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
| 1891972584 | Jill M Braaten | Chiropractor | 750 1st Street South, Suite 103, Waite Park, MN 56387 | 2008-01-25 |
| 1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| Find all providers in zip 56387 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235653288 | Amy Marie Anderson | Physician Assistant | 113 Waite Avenue South #101, Centracare Clinic Convenience Care, Waite Park, MN 56387-1348 | 2017-08-01 |
| 1265986350 | Kathryn Nicole Bjelland | Physician Assistant | 113 Waite Avenue South, Centracare Quick Clinic Waite Park, Waite Park, MN 56387-1348 | 2016-08-07 |
| 1114959814 | Laura E Fouquette | Physician Assistant | 113 Waite Ave S, Waite Park, MN 56387-1348 | 2006-07-06 |
| 1861714875 | Terrence Joseph Keller | Physician Assistant | 901 3rd St N, Waite Park, MN 56387-1964 | 2010-02-17 |
| 1831200559 | Michelle Lee Dahlberg | Physician Assistant | 901 3rd St N, Waite Park, MN 56387-1964 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | WAITE PARK |
| Zip Code | 56387 |
Please comment or provide details below to improve the information on PAIGE DETERS.
| 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.