DR. JESSICA KAITLYN MACENTEE (NPI# 1356723639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356723639 |
| Entity Type | Individual |
| Full Name | DR. JESSICA KAITLYN MACENTEE |
| Credential | MD |
| Practice Address |
14700 28th Ave N Ste 20 Plymouth MN 55447-4876 |
| Mailing Address |
Po Box 47159 Plymouth MN 55447-0159 |
| Practice Telephone | 6355937797 |
| Practice Fax Number | 7634503986 |
| Mailing Telephone | 7635593779 |
| Mailing Fax Number | 7634503986 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 65279 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
14700 28TH AVE N STE 20 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55447-4876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090564 | Karin Kenyon | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2005-08-12 |
| 1548869662 | Allison Marie Beilke | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-20 |
| 1023617362 | Nickolas C Southwick | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-19 |
| 1689281123 | Joy A Okonye | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-29 |
| 1861008542 | John Cutshall | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-18 |
| 1154937993 | Brandy Espy | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-17 |
| 1104432079 | Kelly Rogers | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-16 |
| 1932714904 | Amanda Stoltz | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-15 |
| 1194330167 | Cassandra Marie Quam | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-15 |
| 1558976555 | Sarah Elizabeth Vance | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1497262224 | Rajo Care Home Inc | Assisted Living Facility | 14015 Rockford Rd, Plymouth, MN 55447 | 2018-01-02 |
| 1790145647 | Mary Kathleen Salveson | Occupational Therapist | Therapy Junction 14130 23rd Ave N, Plymouth, MN 55447 | 2016-03-03 |
| 1477954253 | Very Best PCa Services | Home Health | 14300 34th Ave N, #111, Plymouth, MN 55447 | 2014-09-11 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1336480946 | Arthur Andrew Hoffman | Chiropractor | 16815 22nd Ave North, Plymouth, MN 55447 | 2013-03-06 |
| 1598001067 | North Memorial Health Care | Clinic/Center | 15535 34th Avenue N., Plymouth, MN 55447 | 2013-01-02 |
| 1396097069 | Kristin Lynn Spencer | Nurse Practitioner | 3007 Harbor Lane North, Park Nicollet Clinic Plymouth - Family Medicine, Plymouth, MN 55447 | 2012-10-05 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers in zip 55447 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649540543 | Yih Cheng Wu | Anesthesiology | 12245 Beacon Hill Dr, Plymouth, MI 48170-3002 | 2012-01-09 |
| 1518925882 | Jon Tomasson | Anesthesiology | 14700 28th Ave N, Suite 20, Plymouth, MN 55447-4835 | 2006-05-03 |
| 1265881494 | Adrian Coon | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2016-06-08 |
| 1992169403 | John William Kelsey | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2016-04-11 |
| 1144682394 | Kathryn Rose Teague | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2016-03-27 |
| 1629445978 | Guardian Anesthesia Inc. | Anesthesiology | 275 Sandwich St, Guardian Anesthesia Inc., Plymouth, MA 02360-2183 | 2015-08-21 |
| 1568844900 | Harrison Wurster | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-06-22 |
| 1609258318 | Reid Franklin Johnson | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-06-18 |
| 1417344839 | Anna E Berglund | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-04-23 |
| 1184011108 | Thomas Botsford | Anesthesiology | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2015-04-16 |
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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.