KAREN R PENNINGTON


Address: 921 Greeley St S, Stillwater, MN 55082
Phone: 6514391234

KAREN R PENNINGTON (NPI# 1487766820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487766820
Entity Type Individual
Full Name KAREN R PENNINGTON
Credential PAC
Practice Address 921 Greeley St S
Stillwater
MN 55082
Mailing Address 8170 33rd Ave S # Ms 21110q
Minneapolis
MN 55425-4516
Practice Telephone 6514391234
Mailing Telephone 6514391234
Enumeration Date 2006-08-31
Last Update Date 2020-02-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10413 MN Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 1242 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 42995400 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3960 Coon Rapids Blvd, Hubert H Humphrey Cancer Center, Coon Rapids, MN 55433 7632369090

Other Providers KAREN PENNINGTON

NPI Name Taxonomy Address Enumeration
1194756775 Karen Pennington Nurse Practitioner 2785 Cason St, Lafayette, IN 47904-2843 2006-07-05
1164679767 Karen L. Pennington Registered Nurse 1000 Pennsylvania Ave, Claymont, DE 19703-1200 2008-08-26
1093859746 Karen Pennington Internal Medicine 2896 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3146 2007-02-16
1619062627 Karen M. Pennington Nutritionist 832 Princeton Ave Sw, Birmingham, AL 35211-1320 2006-10-04

Office Location

Street Address 921 GREELEY ST S
City STILLWATER
State MN
Zip Code 55082

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528041043 Melissa Hanner Frisvold Advanced Practice Midwife 921 Greeley St S, Stillwater, MN 55082-5935 2005-11-29
1154817575 Brooke Elyssa Klaphake Physical Therapist 921 Greeley St S, Stillwater, MN 55082 2018-07-09
1326559709 Group Health Plan, Inc Durable Medical Equipment & Medical Supplies 921 Greeley St S, Stillwater, MN 55082-5935 2017-10-12
1245647395 Elizabeth Connor Mcginley Physical Therapist 921 Greeley St S, Stillwater, MN 55082-5935 2014-07-21
1578904413 Krista D Kranz Advanced Practice Midwife 921 Greeley St S, Stillwater, MN 55082-5935 2013-07-08
1649402512 Jill M Stanway Physician Assistant 921 Greeley St S, Stillwater, MN 55082 2009-08-11
1972777571 Jennifer Ann Willette Obstetrics & Gynecology 921 Greeley St S, Stillwater, MN 55082-5935 2008-04-15
1578735262 Melissa Johnson Kriscunas Obstetrics & Gynecology 921 Greeley St S, Stillwater, MN 55082-5935 2008-04-02
1811188709 Nicole Radulovich Nelson Obstetrics & Gynecology 921 Greeley St S, Stillwater, MN 55082-5935 2007-08-06
1215134515 Kate Michael Giddings Schneider Obstetrics & Gynecology 921 Greeley St S, Stillwater, MN 55082 2007-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154947455 Lucas William Schmidt Optometrist 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 2020-06-23
1982238085 Jerald Haley Technician 924 6th Ave. S., Stillwater, MN 55082 2020-02-27
1801457387 Sun Trad Chin Acu Mn LLC Acupuncturist Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 2019-06-25
1598243990 Carlson Distinctive Dentistry, Pllc Dentist 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 2018-07-30
1073001624 Lindsay Beth Briggs Chiropractor 200 Chestnut St E, Ste 202, Stillwater, MN 55082 2018-04-30
1578932943 Group Health Plan, Inc Family Medicine 921 Greeley Street, Stillwater, MN 55082 2015-09-16
1184001919 Grant Rohrig Specialist/Technologist 8727 Jeffrey Ave North, Stillwater, MN 55082 2015-04-30
1346688991 Kellie Ann Seth Chiropractor 200 Chestnut St E Ste 202, Stillwater, MN 55082 2013-06-05
1770928426 Rivertown Animal Hospital Veterinarian 135 New England Place, Stillwater, MN 55082 2013-05-08
1285929265 Healtheast Medical Research Institute Dietitian, Registered 2900 Curve Crest Blvd, Stillwater, MN 55082 2011-06-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043843782 Andrea Claire Mueller Physician Assistant 8050 Imperial Ct N, Stillwater, MN 55082-9340 2020-02-21
1235604984 Zachary T Edens Physician Assistant 1909 W 6th Ave Ste B, Stillwater, OK 74074-4204 2018-10-09
1881916179 Meredith Pruitt Physician Assistant 1009 W 9th Ave, Stillwater, OK 74074-5404 2010-02-27
1366488587 Eric Sage Salman Physician Assistant 1950 Curve Crest Blvd W, Suite100, Stillwater, MN 55082-5078 2006-06-22
1134169774 Jacob Gregory Guth Physician Assistant 1835 County Road C West, Suite 150, Stillwater, MN 55082-5078 2006-06-08
1124012638 Elizabeth Fell Loken Physician Assistant 5701 Stillwater Blvd N, Stillwater, MN 55082-1030 2005-09-12
1174121677 Christen Nelson Physician Assistant 511 Windsor Dr, Stillwater, OK 74074-6962 2020-10-16
1194336412 Anna Kaci Renner Physician Assistant 270 Main St N Ste 300, Stillwater, MN 55082-6788 2020-08-11
1275163735 Trevor Duade Maxwell Physician Assistant 275 S Perkins Rd, Stillwater, OK 74074-3665 2020-01-23
1649821646 Robert Monroe Poutre Physician Assistant 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 55082-6181 2019-09-23
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Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

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.

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