KATHRYN ELIZABETH JACQUES FRODERMANN (NPI# 1245564343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245564343 |
| Entity Type | Individual |
| Full Name | KATHRYN ELIZABETH JACQUES FRODERMANN |
| Other Name | KATHRYN ELIZABETH JACQUES |
| Credential | PA-C |
| Practice Address |
3366 Oakdale Ave N Suite 315 Robbinsdale MN 55422 |
| Mailing Address |
9201 West Broadway Ave Suite 601 Brooklyn Park MN 55445 |
| Practice Telephone | 7635877900 |
| Practice Fax Number | 7635877989 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7635877066 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9772 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3366 OAKDALE AVE N SUITE 315 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
| 1164954020 | Brianna Kay Randall | Physician Assistant | 3366 Oakdale Ave N, Ste 104, Robbinsdale, MN 55422-2948 | 2017-03-30 |
| 1699228999 | Matthew Idle | Dentist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2016-08-03 |
| 1598135287 | Kelly Lynn Vanderheyden | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-07 |
| 1134599038 | Kari Ann Gabrielse | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2015-10-05 |
| 1346621919 | Anna E Marjan | Surgery | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2015-06-09 |
| 1982008413 | Amanda Lynn Solyntjes | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1417351941 | Rachael Jensen | Specialist/Technologist | 3366 Oakdale Ave N, Robbinsdale, MN 55422-2948 | 2014-10-13 |
| 1801205984 | Travis Wayne Urbatch | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2014-08-04 |
| 1609217769 | Rita Ann Anderson | Nurse Practitioner | 3366 Oakdale Ave N, Suite 551, Robbinsdale, MN 55422-2948 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056889 | Kelly L Downes | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-09-02 |
| 1023474111 | Kelsey Sherwood | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2016-01-06 |
| 1851766067 | Katherine Cole | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2015-12-14 |
| 1992181556 | Kristine E Westgard | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2015-08-06 |
| 1609250224 | Kareem Rizk | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2015-07-14 |
| 1376931774 | Chad Macheel | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2015-01-07 |
| 1912314097 | Paul Sobiech | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2014-07-21 |
| 1962742536 | Ashley Kay Mcdonald | Physician Assistant | 3366 Oakdale Ave N, Suite 605, Robbinsdale, MN 55422-2948 | 2013-02-19 |
| 1275850927 | Eric Ryan Van Hecke | Physician Assistant | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2010-04-21 |
| 1427241389 | Sara R Longobardi | Physician Assistant | 3366 Oakdale Ave N, Suite 520, Robbinsdale, MN 55422-2948 | 2007-08-23 |
| Find all providers in ROBBINSDALE | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on KATHRYN ELIZABETH JACQUES FRODERMANN.
| 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.