MR. ERIC RYAN VAN HECKE (NPI# 1275850927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275850927 |
| Entity Type | Individual |
| Full Name | MR. ERIC RYAN VAN HECKE |
| Credential | PA-C, MPAS |
| Practice Address |
4600 Lake Road Ave Ste 301 Robbinsdale MN 55422-1845 |
| Practice Telephone | 7635887099 |
| Practice Fax Number | 7635222222 |
| Mailing Telephone | 7635887099 |
| Mailing Fax Number | 7635222222 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10627 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Jackson St, Saint Paul, MN 551012502 | 6512545000 |
| Street Address |
4600 LAKE ROAD AVE STE 301 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730145764 | Erving Wayne London | Nurse Practitioner | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2006-04-26 |
| 1447711015 | Medical Consultants Clinic Pa | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2019-03-27 |
| 1073022372 | Sean Sullivan Dwyer | Physician Assistant | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2017-09-29 |
| 1306254206 | Emily Anderson | Clinical Nurse Specialist | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2014-07-24 |
| 1275881971 | Dodson Pain Consultants, P.a. Corp | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2012-08-28 |
| 1003987876 | Erick James Lundgren | Chiropractor | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422 | 2006-11-13 |
| 1649201161 | Tammie Jean Porras | Nurse Practitioner | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2006-07-05 |
| 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 |
| 1245564343 | Kathryn Elizabeth Jacques Frodermann | Physician Assistant | 3366 Oakdale Ave N, Suite 315, Robbinsdale, MN 55422 | 2009-09-23 |
| 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 MR. ERIC RYAN VAN HECKE.
| 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.