ISAAC WAALEN (NPI# 1255969150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255969150 |
| Entity Type | Individual |
| Full Name | ISAAC WAALEN |
| Practice Address |
5420 Circle Down Minneapolis MN 55416-1312 |
| Practice Telephone | 6512479016 |
| Mailing Telephone | 6512479016 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
13287 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5420 CIRCLE DOWN |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1972002996 | Morgan Linn Schneeman | Physician Assistant | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-02-05 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on ISAAC WAALEN.
| 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.