AMY KAY BOSTIC (NPI# 1467481994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467481994 |
| Entity Type | Individual |
| Full Name | AMY KAY BOSTIC |
| Credential | PA-C |
| Practice Address |
15655 37th Ave N Suite 100 Plymouth MN 55446 |
| Practice Telephone | 7635877900 |
| Practice Fax Number | 7635877701 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7635877989 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9942 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 751115900 | 05 |
| Street Address |
15655 37TH AVE N SUITE 100 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083681845 | Mancel Talcott Mitchell IIi | Family Medicine | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2006-03-01 |
| 1235501412 | Gwenda Lyn Hill | Dietitian, Registered | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2015-10-27 |
| 1083893705 | Cristen Jayne Singer | Nurse Practitioner | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2007-10-30 |
| 1598795155 | Thomas T Swan | Family Medicine | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2006-07-03 |
| 1518995042 | Gary Alan Nisius | Family Medicine | 15655 37th Ave N, Suite 100, Plymouth, MN 55446-3207 | 2006-06-30 |
| 1740218221 | Daniel Steven Cohan | Family Medicine | 15655 37th Ave N, Suite 100, Plymouth, MN 55446-3207 | 2006-06-30 |
| 1336177963 | Matthew S Barnes | Family Medicine | 15655 37th Ave N, Suite 100, Plymouth, MN 55446 | 2006-06-30 |
| 1396781241 | Pamela S Jaworski | Family Medicine | 15655 37th Ave N, Suite 100, Plymouth, MN 55446-3207 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| 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 |
|---|---|---|---|---|
| 1942827852 | Lisa Marie Mcmullen | Physician Assistant | 11845 Pine Way Ct, Plymouth, MI 48170-6299 | 2020-06-26 |
| 1427679703 | Maura Jean Walsh Clemons | Physician Assistant | 12015 26th Ave N, Plymouth, MN 55441-2903 | 2020-04-28 |
| 1457912842 | Joseph Andrew Flagg | Physician Assistant | 35 Kirk Cir, Plymouth, MA 02360-2372 | 2019-06-26 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1023585221 | Christopher Rowley | Physician Assistant | 3655 Plymouth Blvd Ste 100, Plymouth, MN 55446-3665 | 2018-10-26 |
| 1407331440 | Mia Catherine Scagliarini | Physician Assistant | 110 Long Pond Rd Ste 212, Plymouth, MA 02360-2642 | 2018-09-25 |
| 1700235868 | Joanna Van Doren | Physician Assistant | 345 Court St Ste 201, Plymouth, MA 02360-4329 | 2016-06-09 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1891081626 | Peter Andrew Shannon | Physician Assistant | 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2011-06-20 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| Find all providers in PLYMOUTH | ||||
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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.