ERIC MJELDE (NPI# 1588064299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588064299 |
| Entity Type | Individual |
| Full Name | ERIC MJELDE |
| Practice Address |
705 Pleasant Ave S Park Rapids MN 56470-1440 |
| Mailing Address |
1027 Washington Ave Detroit Lakes MN 56501-3409 |
| Practice Telephone | 2187322800 |
| Practice Fax Number | 2187322857 |
| Mailing Telephone | 2187322800 |
| Mailing Fax Number | 2187322857 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2015-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11663 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1588064299 | 05 |
| Street Address |
705 PLEASANT AVE S |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513772 | Holly C Wright | Nurse Practitioner | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-01-19 |
| 1528616018 | Lydia Schroeder | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-08-28 |
| 1811545437 | Jessica Katherine Malinowski | Dermatology | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-08-27 |
| 1689239576 | Cassie M Kurtz | Advanced Practice Midwife | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-05-06 |
| 1073071924 | Kayse J Aho | Speech-Language Pathologist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-03-11 |
| 1609389279 | Kia Danielle Alton | Speech-Language Pathologist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-11-06 |
| 1669998571 | St Mary's Regional Health Center | Occupational Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2017-08-22 |
| 1215471529 | Angela Turnow | Physical Therapist | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-12-06 |
| 1770034027 | Rhea Wenschlag | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-10-21 |
| 1396299079 | Heather Foresman | Advanced Practice Midwife | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1174091904 | Amanda Marie Slaikeu | Physical Therapist | 705 Pleasant Avenue South, Park Rapids, MN 56470 | 2018-11-09 |
| 1184965261 | Hubbard County Sheriff's Office | Secured Medical Transport (VAN) | 203 Court Ave, Park Rapids, MN 56470 | 2013-03-14 |
| 1134481666 | Michelle Lynn Rice | Physical Therapy Assistant | 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1629330279 | Lois G. Mcclatchie | Physical Therapist | 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1891966479 | Jay C Jorgenson Dds Pa | Dentist | 406 Pleasant Ave, Park Rapids, MN 56470 | 2008-03-21 |
| 1629250063 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 | 2007-11-28 |
| Find all providers in zip 56470 | ||||
| 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 |
|---|---|---|---|---|
| 1922509306 | Chasity Marie Phillips | Physician Assistant | 705 Pleasent Avenue, Park Rapids, MN 56470-1440 | 2018-02-22 |
| 1528616018 | Lydia Schroeder | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2019-08-28 |
| 1770034027 | Rhea Wenschlag | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-10-21 |
| 1679894299 | Betty Larsen | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2010-06-17 |
| 1962738872 | Marnie Davis | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2009-10-27 |
| 1235274697 | Elizabeth Hirt | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2007-02-21 |
| 1386667061 | Rose A Haroldson | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-07-25 |
| 1861433856 | Sandra L Jones | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-06-09 |
| 1750328563 | Edwin A Novak | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-06-01 |
| 1265405252 | Brenda J Norby | Physician Assistant | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-02-09 |
| Find all providers in PARK RAPIDS | ||||
| City | PARK RAPIDS |
| Zip Code | 56470 |
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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.