HIEU KIM CABAK (NPI# 1518917731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518917731 |
| Entity Type | Individual |
| Full Name | HIEU KIM CABAK |
| Credential | PA-C |
| Practice Address |
9825 Hospital Dr Ste 300 Maple Grove MN 55369-4768 |
| Practice Telephone | 7635877900 |
| Practice Fax Number | 7634947501 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7634947501 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9848 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 141638300 | 05 |
| Street Address |
9825 HOSPITAL DR STE 300 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467761890 | Susan Mentjes Wrobel | Nurse Practitioner | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2010-10-04 |
| 1154583631 | Kyle R Barker | Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-06-26 |
| 1023276789 | Tiffany T Fancher | Colon & Rectal Surgery | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-05-29 |
| 1235304726 | North Clinic, Pa | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-04-25 |
| 1588840813 | Anne C. Carlson-buren | Podiatrist | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2008-01-16 |
| 1700815230 | Sherry Ann Paulson | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-30 |
| 1164451662 | Pete Albert Pooler | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-30 |
| 1346286838 | Leslee J Jaeger | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-22 |
| 1013953488 | Kathryn G Flory | Obstetrics & Gynecology | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 | 2006-06-22 |
| 1073557641 | Asim Said Khan | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558392878 | Chad L Swearingen | Physician Assistant | 9630 Grove Cir N, Suite 300, Maple Grove, MN 55369-3464 | 2006-07-05 |
| 1033753546 | Kelsey Kostreba | Physician Assistant | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2019-10-29 |
| 1477053361 | Jessica N Schindler | Physician Assistant | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2018-02-16 |
| 1639510795 | Megan E Fasching | Physician Assistant | 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 | 2013-07-17 |
| 1760678874 | Rachel Dawn Miller | Physician Assistant | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2007-09-21 |
| 1740255835 | Alissa S Ventura | Physician Assistant | 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
| 1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
| 1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
| 1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
| 1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
| 1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
| 1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
| 1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on HIEU KIM CABAK.
| 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.