MATHEW J. SO (NPI# 1215126503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215126503 |
| Entity Type | Individual |
| Full Name | MATHEW J. SO |
| Credential | M.D. |
| Practice Address |
166 4th St E Saint Paul MN 55101-1421 |
| Practice Telephone | 6512922000 |
| Mailing Telephone | 6512922000 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
55169 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
60597 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
166 4TH ST E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367789 | Richard N. Aizpuru | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2005-06-22 |
| 1982115754 | Erin Kaslow | Social Worker | 166 4th St E, Saint Paul, MN 55101-1421 | 2017-10-19 |
| 1518477454 | Sarah Jean Boehne | Social Worker | 166 4th St E, Saint Paul, MN 55101-1421 | 2017-10-05 |
| 1861934788 | South Metro Human Services-act Purple | Case Management | 166 4th St E, Suite 200, Saint Paul, MN 55101-1421 | 2016-11-09 |
| 1952843864 | South Metro Human Services-act Blue | Case Management | 166 4th St E, Suite 200, Saint Paul, MN 55101-1421 | 2016-11-09 |
| 1023560257 | Cheryl Bertsch | Pharmacist | 166 4th St E, Saint Paul, MN 55101-1421 | 2016-11-04 |
| 1912365669 | Tracy Jost | Nurse Practitioner | 166 4th St E, Saint Paul, MN 55101-1421 | 2016-02-09 |
| 1255708780 | United Family Practice Health Center | Family Medicine | 166 4th St E, Saint Paul, MN 55101-1421 | 2015-09-01 |
| 1952778656 | Laura Lynett | Counselor | 166 4th St E, Saint Paul, MN 55101-1421 | 2015-08-28 |
| 1558785311 | Megan Elgethun | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568589083 | Jamie L. Fort | Radiology | 166 4th St E Ste 100, Saint Paul, MN 55101-1474 | 2007-03-22 |
| 1245218759 | Nihar S Shah | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2006-01-04 |
| 1558367789 | Richard N. Aizpuru | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2005-06-22 |
| 1952307175 | Midwest Radiology, Pa | Radiology | 250 Thompson St., Saint Paul, MN 55102 | 2005-06-22 |
| 1558785311 | Megan Elgethun | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2014-02-13 |
| 1043643059 | Voyageur Imaging,llc | Radiology | 393 Dunlap St N, Suite Ll40, Saint Paul, MN 55104-4200 | 2013-08-13 |
| 1205273083 | John A Coburn | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2013-06-03 |
| 1063858793 | Paul Robert Oler II | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-05-21 |
| 1407299423 | Nissar Vahora | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-04-09 |
| 1912240235 | Assefa Ayalew | Radiology | 166 4th St E, Saint Paul, MN 55101-1400 | 2013-04-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
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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.