PAMELA KAYE MCNALLAN (NPI# 1215008156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215008156 |
| Entity Type | Individual |
| Full Name | PAMELA KAYE MCNALLAN |
| Credential | PA-C |
| Practice Address |
12450 Wayzata Blvd Suite 215 Minnetonka MN 55305-1978 |
| Mailing Address |
140 Carlson Pkwy #101 Minnetonka MN 55305-5333 |
| Practice Telephone | 9525466866 |
| Mailing Telephone | 6083858354 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 929 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12450 WAYZATA BLVD SUITE 215 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072234 | Laura Ellen Hart | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215 Ridge Plaza, Minnetonka, MN 55305-1978 | 2005-09-12 |
| 1184788614 | Swanson Family Dentristry Pa | Dentist | 12450 Wayzata Blvd, Ste 214, Minnetonka, MN 55305-1934 | 2006-12-20 |
| 1295898666 | Matthew Frederick Gundlach | Psychologist | 12450 Wayzata Blvd, Suite 205, Minnetonka, MN 55305-1978 | 2006-12-18 |
| 1386745966 | Heidi Louise Driscoll | Marriage & Family Therapist | 12450 Wayzata Blvd, Suite 201, Minnetonka, MN 55305-1978 | 2006-09-26 |
| 1356450860 | Debra J Peterson | Nurse Practitioner | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-08-29 |
| 1619994696 | Advancements In Allergy and Asthma Care Ltd | Clinic/Center | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-07-16 |
| 1093732984 | Michael Ross Wexler | Allergy & Immunology | 12450 Wayzata Blvd, Suite 215, Minnetonka, MN 55305-1978 | 2006-07-16 |
| 1245212802 | James Timothy Swanson | Dentist | 12450 Wayzata Blvd, 214, Minnetonka, MN 55305-1934 | 2005-11-18 |
| 1154303717 | Justin Skjei Swanson | Dentist | 12450 Wayzata Blvd, 214, Minnetonka, MN 55305-1934 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| 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 |
|---|---|---|---|---|
| 1922510346 | Amber Alexandra Baumann | Physician Assistant | 12450 Wayzata Blvd Ste 215, Minnetonka, MN 55305-1927 | 2017-10-25 |
| 1750859799 | Luke David Tourville | Physician Assistant | 4848 County Road 101, Minnetonka, MN 55345-2635 | 2018-11-07 |
| 1649780974 | Greta Sowles | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-09-29 |
| 1003337601 | Amy Luell | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-07-05 |
| 1801332499 | Catherine Huber | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-01-06 |
| 1205383452 | Janna Marie Bjoin | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2016-09-06 |
| 1801248968 | Maren Elizabeth Stjernholm | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2016-07-12 |
| 1407227945 | Minuteclinic Diagnostic of Minnesota, P.a. | Physician Assistant | 13201 Ridgedale Dr, Minnetonka, MN 55305-1809 | 2015-10-09 |
| 1821481524 | Ryan David Deeds | Physician Assistant | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2015-03-05 |
| 1386033967 | Hoshmand Las | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2015-01-20 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.