JEREMY ST. AUBIN (NPI# 1548712516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548712516 |
| Entity Type | Individual |
| Full Name | JEREMY ST. AUBIN |
| Credential | PT |
| Practice Address |
612 Center Ave N Ashley ND 58413-7013 |
| Mailing Address |
Po Box 450 Ashley ND 58413-0450 |
| Practice Telephone | 7012885243 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1262 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1179 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
612 CENTER AVE N |
| City | ASHLEY |
| State | ND |
| Zip Code | 58413-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286616 | Ashley Medical Center | General Acute Care Hospital | 612 Center Ave N, Ashley, ND 58413-7013 | 2005-06-24 |
| 1083182174 | Cori Lynn Randall | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2018-11-06 |
| 1578962130 | Tara Brandner | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2014-08-20 |
| 1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
| 1619061454 | Ashley Medical Center | Durable Medical Equipment & Medical Supplies | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-10-03 |
| 1780784108 | Ashley Medical Center | Hospice Care, Community Based | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-25 |
| 1508963950 | Udom Tinsatul | Surgery | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-20 |
| 1649374042 | Ashley Medical Center | Medicare Defined Swing Bed Unit | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
| 1285738401 | Ashley Medical Center | Home Health | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
| 1235244542 | Nina Klein | Family Medicine | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782114 | Mcintosh County Social Services | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413 | 2015-02-09 |
| 1538262654 | Ashley Drug | Pharmacy | 109 W Main St, Ashley, ND 58413 | 2006-09-06 |
| 1841689437 | Brooke Kosiak | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413-0218 | 2015-01-20 |
| 1053475020 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 109 W Main St, Ashley, ND 58413-7003 | 2006-12-21 |
| 1770594459 | Mcintosh County District Health Unit | Public Health or Welfare | 511 3rd Ave Nw, Ashley, ND 58413-7131 | 2006-08-10 |
| 1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871853010 | Kim Bloms | Physical Therapist | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2012-05-22 |
| 1114198983 | Erika Lea Hanson | Physical Therapist | 1420 8th St N, Fargo, ND 58102-2613 | 2008-03-19 |
| 1861619900 | Karena Lee Holm | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201 | 2007-04-19 |
| 1497805196 | Great Kids Therapy, Ltd. | Physical Therapist | 102 W Beaton Dr, Suite 100, West Fargo, ND 58078-2652 | 2007-01-12 |
| 1275680720 | Jodi Denee Hendrickson | Physical Therapist | 3060 Frontier Way, Fargo, ND 58104-8909 | 2007-01-05 |
| 1053468223 | Brian Allen Borchardt | Physical Therapist | 7119 Maple Ln, Horace, ND 58047-4714 | 2007-01-03 |
| 1245287069 | Tammy Leigh Sayler | Physical Therapist | 2951 S 34th St, Grand Forks, ND 58201-6061 | 2006-05-27 |
| 1689290124 | Engagement Pllc | Physical Therapist | 508 13th St E, Dickinson, ND 58601-4179 | 2020-06-21 |
| 1487032173 | Melissa Marie Lennon | Physical Therapist | 2200 Library Cir, Grand Forks, ND 58201-6326 | 2015-05-13 |
| 1023411386 | Theresa Marie Cowles | Physical Therapist | 801 Broadway N, Fargo, ND 58102-3641 | 2014-10-01 |
| Find all providers with the same taxonomy | ||||
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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.