MR. STEPHEN D VANG (NPI# 1366755415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366755415 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN D VANG |
| Credential | PA-C |
| Practice Address |
166 19th St S Suite 101 Sartell MN 56377-4654 |
| Practice Telephone | 3202307788 |
| Practice Fax Number | 3202307789 |
| Mailing Telephone | 3202307788 |
| Mailing Fax Number | 3202307789 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10857 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
166 19TH ST S SUITE 101 |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-4654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580454 | Ramon P Sotto | Physical Medicine & Rehabilitation | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2005-12-27 |
| 1083161814 | St. Cloud Hospital | Counselor | 166 19th St S, Suite 201, Sartell, MN 56377-4654 | 2016-09-09 |
| 1346622644 | Carolyn Ann Yavarow | Nurse Practitioner | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2015-06-23 |
| 1619314184 | William Andrew Wallington | Nurse Practitioner | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2013-05-23 |
| 1942434436 | Jeffrey Ross Anderson | Anesthesiology | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2009-05-12 |
| 1528207156 | Carl John Fedyszyn | Family Medicine | 166 19th St S, Suite #201, Sartell, MN 56377-4654 | 2009-02-04 |
| 1558536755 | Barbara Ann Weber | Clinical Nurse Specialist | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2008-04-28 |
| 1679751804 | Northern Star Therapy Ltd | Durable Medical Equipment & Medical Supplies | 166 19th St S, Suite 202, Sartell, MN 56377-4654 | 2008-02-11 |
| 1205037538 | Ryan Patrick Wippler | Radiology | 166 19th St S, Suite 100, Sartell, MN 56377-4654 | 2007-05-31 |
| 1093841678 | Ranjan Dey | Anesthesiology | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2007-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013291475 | Ruth Ann Hoffman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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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.