KATRINA REBECCA ROGAHN (NPI# 1386082709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386082709 |
| Entity Type | Individual |
| Full Name | KATRINA REBECCA ROGAHN |
| Credential | PA-C |
| Practice Address |
1411 State Highway 79 East Elbow Lake MN 56531-4611 |
| Mailing Address |
1411 State Highway 79e Elbow Lake MN 56531 |
| Practice Telephone | 2186854461 |
| Practice Fax Number | 2186856749 |
| Mailing Telephone | 2186854461 |
| Mailing Fax Number | 2186856749 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
11375 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | DRIVERS LICENSE | A341055895108 | 01 |
| Street Address |
1411 STATE HIGHWAY 79 EAST |
| City | ELBOW LAKE |
| State | MN |
| Zip Code | 56531-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746308 | Susan Marie Berg | Physician Assistant | 1411 Mn-79, Elbow Lake, MN 56531 | 2018-07-16 |
| 1932468451 | Adam Richard Johnson | Chiropractor | 17 Central Ave South, Elbow Lake, MN 56531 | 2012-05-04 |
| 1194990606 | Kastner Chiropractic LLC | Acupuncturist | 17 South Central Avenue, Elbow Lake, MN 56531 | 2008-04-25 |
| 1205904513 | Elbow Lake Dental Center, Inc. | Dentist | 18 Division St W, Po 1032, Elbow Lake, MN 56531 | 2006-12-04 |
| 1770686396 | Michael Joseph Kastner | Chiropractor | 17 South Central Ave, Elbow Lake, MN 56531 | 2006-09-07 |
| 1649571571 | Kesha Marie Anderson | Marriage & Family Therapist | 32 Central Ave S, Suite #8, Elbow Lake, MN 56531 | 2010-11-09 |
| 1275590333 | Phillip Walter Holmes | Family Medicine | 1411 State Hwy 79 East, Elbow Lake, MN 56531 | 2006-05-01 |
| 1467435990 | Heather Jane Reeve | Physician Assistant | 1411 State Hwy 79 East, Elbow Lake, MN 56531 | 2005-11-29 |
| 1225119381 | Grant County Social Services | Public Health or Welfare | 28 Central South, Elbow Lake, MN 56531-1006 | 2006-10-17 |
| 1568686467 | Grant County Transportation | Bus | 28 Central South, Elbow Lake, MN 56531-1006 | 2007-04-12 |
| Find all providers in zip 56531 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043696420 | Stefany Nordby | Physician Assistant | 1411 Highway 79 E, Elbow Lake, MN 56531-4645 | 2015-08-07 |
| 1467435990 | Heather Jane Reeve | Physician Assistant | 1411 State Hwy 79 East, Elbow Lake, MN 56531 | 2005-11-29 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ELBOW LAKE |
| Zip Code | 56531 |
Please comment or provide details below to improve the information on KATRINA REBECCA ROGAHN.
| 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.