ANGELA MARIE FJERSTAD (NPI# 1578728978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578728978 |
Entity Type | Individual |
Full Name | ANGELA MARIE FJERSTAD |
Credential | PA |
Practice Address |
2550 University Ave West Suite 423 South St Paul MN 55114 |
Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
Practice Telephone | 6128711145 |
Practice Fax Number | 6128705491 |
Mailing Telephone | 6128711145 |
Mailing Fax Number | 6128705491 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-11-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10454 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2550 UNIVERSITY AVE WEST SUITE 423 SOUTH |
City | ST PAUL |
State | MN |
Zip Code | 55114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801879242 | Federico Tommaso Rossi | Internal Medicine | 2550 University Ave West, Suite 423 South, St Paul, MN 55114-1369 | 2005-11-21 |
1962612390 | Bertha E Toriz | Internal Medicine | 2550 University Ave West, Suite 423 South, St Paul, MN 55114-1904 | 2007-05-23 |
1750368353 | Abigail Hadassah Gewirtz | Psychologist | 2550 University Ave West, Ste 229n, St Paul, MN 55114 | 2005-12-27 |
1427035021 | Cynthia Richardson Spicuzza | Clinical Neuropsychologist | 2550 University Ave West, Ste 229n, St Paul, MN 55114 | 2005-12-27 |
1013990076 | Neil P Phelan | Internal Medicine | 2550 University Ave West, Suite 423 South, St Paul, MN 55114 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
Find all providers in zip 55114 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831237536 | Cora L Peine | Physician Assistant | 1026 W 7th Street, St Paul, MN 55102-3007 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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.