PASSPORT HEALTH HOLDINGS, LLC. (NPI# 1447676572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447676572 |
Entity Type | Organization |
Organization Name | PASSPORT HEALTH HOLDINGS, LLC. |
Other Organization Name | PPH GLOBAL SERVICES, LLC. |
Practice Address |
1600 University Ave W #207 Saint Paul MN 55104 |
Mailing Address |
8324 E Hartford Dr #200 Scottsdale AZ 85255 |
Practice Telephone | 8889096551 |
Practice Fax Number | 4803836567 |
Mailing Telephone | 8889096551 |
Mailing Fax Number | 4803836567 |
Enumeration Date | 2014-03-13 |
Last Update Date | 2016-03-18 |
Authorized Official Name | DOUG SHACKELL (DIRECTOR OF FINANCE) |
Authorized Official Telephone | 4806469024 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
261Q0000X | MN | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
PPH Global Services, LLC. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811313943 | Passport Health Holdings, LLC. | Preventive Medicine | 2812 Emerywood Parkway, #160, Richmond, VA 23294 | 2014-03-13 |
1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
1336557685 | Passport Health Holdings, LLC. | Preventive Medicine | 3211 N. Tenaya Way, Las Vegas, NV 85255 | 2014-07-31 |
1477970192 | Passport Health Holdings, LLC. | Clinic/Center | 29 Plantation Park Dr, B100 #117, Bluffton, SC 29910 | 2014-03-19 |
1710303839 | Passport Health Holdings, LLC. | Preventive Medicine | 200 Bartlett Dr, # 105, El Paso, TX 79912 | 2014-03-13 |
1720404858 | Passport Health Holdings, LLC. | Preventive Medicine | 7003 Chadwick Dr, #227, Brentwood, TN 37027 | 2014-03-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
Street Address |
1600 UNIVERSITY AVE W #207 |
City | SAINT PAUL |
State | MN |
Zip Code | 55104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801865894 | Minnesota Foot and Ankle Clinic P A | Podiatrist | 1600 University Ave W, Suite 19-c, Saint Paul, MN 55104-3825 | 2006-03-14 |
1477035616 | Jeffrey James Hansen | Psychologist | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2018-09-04 |
1811418346 | Cheri Ann Kuhn | Counselor | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2017-07-06 |
1013451657 | Lindsey Rae Benolken | Counselor | 1600 University Ave W, Ste 12, Saint Paul, MN 55104-3898 | 2016-12-16 |
1831649664 | Kristine Kaschmitter | Occupational Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2016-10-05 |
1639626054 | Anna Ross | Occupational Therapist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2016-09-01 |
1972991354 | Tegist Ayalew | Nurse Practitioner | 1600 University Ave W, Saint Paul, MN 55104-3898 | 2015-01-07 |
1609279157 | Lauren Kijewski | Specialist/Technologist | 1600 University Ave W, Suite 10, Saint Paul, MN 55104-3898 | 2014-09-29 |
1720488711 | Emily Yoon Penk-smith | Occupational Therapist | 1600 University Ave W, 10, Saint Paul, MN 55104-3898 | 2014-08-27 |
1891086005 | Stefan A. Bailis | Psychologist | 1600 University Ave W, Suite 203, Saint Paul, MN 55104-3898 | 2011-04-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
Find all providers in zip 55104 |
Taxonomy Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457747974 | Karen Joy Marienau | Preventive Medicine | 2095 James Ave, Saint Paul, MN 55105-1317 | 2015-04-10 |
1275727257 | Michael S. K. Lockheart | Preventive Medicine | 1661 Saint Anthony Ave Fl 1, Saint Paul, MN 55104 | 2007-08-31 |
1730306846 | Joel Emery Mccullough | Preventive Medicine | 555 Cedar St, Saint Paul, MN 55101 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316419377 | Meeker-mcleod-sibley Community Health Services | Preventive Medicine | 114 North Holbombe Ave, Litchfield, MN 55355 | 2018-12-31 |
1043548423 | Aaron Folsom | Preventive Medicine | 1300 S. 2nd Street, Suite 300, University of Minnesota Division of Epidemiology, Minneapolis, MN 55454-1015 | 2009-11-24 |
1114171352 | Fred Thomas Nobrega | Preventive Medicine | 1118 Skyline Dr Sw, Rochester, MN 55902-0950 | 2008-11-14 |
1457497935 | Ralph Dozier Morris | Preventive Medicine | 290 Painted Turtle Dr Nw, Bemidji, MN 56601-7787 | 2007-01-30 |
1881782712 | Neal Ross Holtan | Preventive Medicine | 500 E Grant St, Apartment 2310, Minneapolis, MN 55404-1421 | 2006-10-10 |
1770977621 | Nicholas Lehnertz | Preventive Medicine | White Earth Indian Health Center, 40520 County Highway 34, Ogema, MN 56569-9612 | 2015-03-27 |
1851535306 | Richard Allan Nelson | Preventive Medicine | 6750 France Ave S, Ste 112, Edina, MN 55435-1903 | 2009-04-28 |
1376786079 | Liza Milagros Ortiz | Preventive Medicine | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2009-04-09 |
1447439369 | Abdelmadjid Guerrah | Preventive Medicine | 40520 County Highway 34, Ogema, MN 56569-9612 | 2007-10-27 |
1407052145 | Dr. M. Warwick, LLC | Preventive Medicine | 1 Veterans Dr, 116a, Minneapolis, MN 55417-2309 | 2007-06-21 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55104 |
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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.