CORINNE A DARGUS (NPI# 1174559611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174559611 |
| Entity Type | Individual |
| Full Name | CORINNE A DARGUS |
| Credential | PAC |
| Practice Address |
102 Sather Dr Fosston MN 56542-1531 |
| Mailing Address |
Po Box 506 Fosston MN 56542-0506 |
| Practice Telephone | 2184351212 |
| Practice Fax Number | 2184351302 |
| Mailing Telephone | 2184351212 |
| Mailing Fax Number | 2184351302 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8997 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE # | DA9071015605 | 01 |
| MN | AMERICA'S PPO/ARAZ # | 974761 | 01 |
| MN | HEALTHPARTNERS # | HP25733 | 01 |
| MN | NDBS # | 18689 | 01 |
| MN | MNBS # | 4F107DA | 01 |
| MN | MEDICA # | 0111355 | 01 |
| MN | UCARE # | 142331 | 01 |
| Street Address |
102 SATHER DR |
| City | FOSSTON |
| State | MN |
| Zip Code | 56542-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639120983 | Dakota Clinic, Ltd. | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-05-12 |
| 1144389834 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-12-08 |
| 1215006424 | Dakota Clinic, Ltd. | Registered Nurse | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-11-06 |
| 1477583086 | Charles S Winjum | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-07-03 |
| 1962447656 | Wesley O Ofstedal | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497773 | Bethany Board and Lodge, Inc | Assisted Living Facility | 203 S Inderlee Ave, Fosston, MN 56542 | 2018-11-27 |
| 1942756556 | Bethany Board and Lodge, Inc | Assisted Living Facility | 903 Hilligoss Blvd Se Suite B, Fosston, MN 56542 | 2016-09-01 |
| 1407268642 | Prairie Pines Community | Assisted Living Facility | 903 Praire Pines Drive, Fosston, MN 56542 | 2014-05-22 |
| 1992115737 | Ekenesenarienrien Cynthia Omokaro | Family Medicine | Essentia Health Fosston Clinic, 900 Hilligoss Blvd. Se, Fosston, MN 56542 | 2014-05-02 |
| 1093944456 | Steven G. Lesmeister | Dentist | 105 2nd Street Sw, Mcintosh, MN 56542 | 2009-07-07 |
| 1427122811 | Kristi Lea Widseth | Nurse Anesthetist, Certified Registered | 900 Hilligoss Boulevard Se, Essentia Health Fosston, Fosston, MN 56542 | 2006-11-20 |
| 1184709685 | Todd William Sandwick | Dentist | 418 1st St. W., Fosston, MN 56542 | 2006-10-25 |
| 1487739975 | Kurt Anthony Albright | Dentist | 201 Hillestad Ave. Ne, Fosston, MN 56542 | 2006-10-25 |
| 1376033357 | Mallory Alice Vig | Occupational Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| 1558851543 | Nicholas Chandler Woods | Nurse Practitioner | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| Find all providers in zip 56542 | ||||
| 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 |
|---|---|---|---|---|
| 1275851420 | Grant Coauette | Physician Assistant | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2010-05-12 |
| 1356502769 | Nicole Marie Kiesow | Physician Assistant | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2008-06-18 |
| 1174613012 | Shelley Wahlin-quinlan | Physician Assistant | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-10-13 |
| 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 | ||||
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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.