MS. KATHRYN SUSAN EISENMENGER FUENTES (NPI# 1306149539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306149539 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN SUSAN EISENMENGER FUENTES |
| Other Name | KATHRYN SUSAN EISENMENGER |
| Credential | PA |
| Practice Address |
2854 Highway 55 Suite 130 Eagan MN 55121-2156 |
| Practice Telephone | 6518423320 |
| Practice Fax Number | 6512245273 |
| Mailing Telephone | 6518423320 |
| Mailing Fax Number | 6512245273 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1514 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2854 HIGHWAY 55 SUITE 130 |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962446781 | Capitol Anesthesia Services P.a. | Nurse Anesthetist, Certified Registered | 2854 Highway 55, Suite 130, Eagan, MN 55121-1405 | 2006-06-15 |
| 1730485582 | Lake City Family Physicians PC | Family Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2011-01-26 |
| 1841590767 | One T Counseling, Consultation, Training, Publishing & Productions | Counselor | 2854 Highway 55, Suite 130, Eagan, MN 55121-1776 | 2010-10-26 |
| 1265688089 | Mark W. Erhard, M.d., P.a. | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-12 |
| 1023274479 | Lyle J. Swenson, M.d, P.a | Internal Medicine | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2008-08-05 |
| 1619138849 | Alec David Otteman | Internal Medicine | 2854 Highway 55, Suite 130, Eagan, MN 55121-2156 | 2008-06-20 |
| 1316130560 | Hodges Surgical Clinic, P.a. | Clinic/Center | 2854 Highway 55, Suite #130, Eagan, MN 55121-2156 | 2007-08-21 |
| 1659396000 | David J Ridley | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-13 |
| 1154354751 | Joan M Beard | Nurse Practitioner | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| 1053344788 | St Paul Rheumatology P A | Internal Medicine | 2854 Highway 55, Suite 190, Eagan, MN 55121-2156 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| 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 |
|---|---|---|---|---|
| 1295371789 | Kamini Bose Sundar Bose | Physician Assistant | 781 Elrene Ct, Eagan, MN 55123-1233 | 2019-11-20 |
| 1568960292 | Omar Fernandes | Physician Assistant | Healthpartners Eagan Clinic, 1654 Diffley Road Ste 100 Mail Stop 34701a, Eagan, MN 55122-2237 | 2018-01-29 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1649328121 | Jennifer Marie Kulus | Physician Assistant | Fairview Urgent Care - Eagan, 1440 Duckwood Drive, Eagan, MN 55122 | 2007-01-08 |
| 1902875818 | Bryan C Sternberg | Physician Assistant | 2620 Eagan Woods Dr Ste 100, Eagan, MN 55121-1138 | 2006-03-14 |
| 1396307450 | Laura Fisher | Physician Assistant | 1400 Corporate Center Curv, Eagan, MN 55121-1373 | 2019-06-28 |
| 1194275552 | Ronneil Aviles | Physician Assistant | 1654 Diffley Rd, Eagan, MN 55122 | 2016-10-10 |
| 1568806958 | Jessica Lynn Cicero | Physician Assistant | 2700 Vikings Cir, Eagan, MN 55121 | 2013-04-29 |
| 1033451232 | Brooke Schroepfer | Physician Assistant | 4241 Johnny Cake Ridge Rd, Eagan, MN 55122-2235 | 2013-03-26 |
| 1003135765 | Kathryn Kempe O'morchoe | Physician Assistant | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2010-05-20 |
| Find all providers in EAGAN | ||||
Please comment or provide details below to improve the information on MS. KATHRYN SUSAN EISENMENGER FUENTES.
| 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.