BENJAMIN J WAXMAN (NPI# 1164447165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164447165 |
| Entity Type | Individual |
| Full Name | BENJAMIN J WAXMAN |
| Credential | PA-C |
| Practice Address |
2800 Chicago Ave Suite 401 Minneapolis MN 55407-1318 |
| Mailing Address |
3001 Metro Dr Suite 330 Bloomington MN 55425-4506 |
| Practice Telephone | 9528146600 |
| Mailing Telephone | 9528146600 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9763 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2800 CHICAGO AVE SUITE 401 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742793 | Loren D Bosmans | Internal Medicine | 2800 Chicago Ave, Ste. 250, Minneapolis, MN 55407-1318 | 2005-12-28 |
| 1417438169 | Community Care Clinics of Minnesota | Clinic/Center | 2800 Chicago Ave, Ste 100, Minneapolis, MN 55407 | 2018-08-21 |
| 1124516042 | Beverly Ann Sorensen | Social Worker | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2018-04-26 |
| 1174043608 | Allison J Z Levy | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1659891174 | Thomas V Williams | Internal Medicine | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1093235517 | Brynn E Weise | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1417477944 | Christopher C Spoke | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-26 |
| 1841710696 | Paul T Abear | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-22 |
| 1699295568 | Ryan N Mello | Student in an Organized Health Care Education/Training Program | 2800 Chicago Ave, Minneapolis, MN 55407-1318 | 2017-06-22 |
| 1659805745 | Maggie Sarah Sortedahl-lopac | Physical Therapist | 2800 Chicago Ave, Suite 102, Minneapolis, MN 55407-1318 | 2017-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
| 1588998744 | Regional Physician Services of Minnesota PC | Physician Assistant | 100 S 5th St Fl 19, Minneapolis, MN 55402-1210 | 2009-09-21 |
| 1295983203 | Millicent Julia Marwa | Physician Assistant | 2711 E Franklin Avenue, Minneapolis, MN 55406 | 2008-09-03 |
| 1134389646 | Jesse G Powell | Physician Assistant | 701 Park Ave Mail Code:01, Minneapolis, MN 55415-1829 | 2008-06-10 |
| 1003013137 | Meghan Elizabeth Brant | Physician Assistant | 2603 39th Ave Ne Ste D202, Minneapolis, MN 55421-4372 | 2007-07-02 |
| 1194880591 | Katherine J Huntington | Physician Assistant | 3017 Bloomington Ave, Minneapolis, MN 55407-1715 | 2006-12-26 |
| 1558323352 | Sarah Anne Bolstad | Physician Assistant | 920 E 28th St Ste 700, Minneapolis, MN 55407-1163 | 2006-04-05 |
| 1043281678 | Mark Winkler | Physician Assistant | 715 S 8th St, Minneapolis, MN 55404 | 2006-01-31 |
| 1679047310 | Caitlin Ann Hiniker | Physician Assistant | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-01-16 |
| 1871094086 | David Masterman | Physician Assistant | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-02-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on BENJAMIN J WAXMAN.
| 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.