PAUL SANDERSON (NPI# 1659464683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659464683 |
| Entity Type | Individual |
| Full Name | PAUL SANDERSON |
| Credential | MS |
| Practice Address |
712 South Cascade Street Fergus Falls MN 56537-2813 |
| Practice Telephone | 2187368000 |
| Practice Fax Number | 2187368757 |
| Mailing Telephone | 2187368000 |
| Mailing Fax Number | 2187368757 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 5253 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCAREMN | 108067 | 01 |
| MN | HEALTHPARTNERS | HP60939 | 01 |
| ND | 51795 | 05 | |
| MN | MEDICA | 4500160 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393563 | Paul D. Sanderson | Psychologist | 2 Liberty St, Foxborough, MA 02035-2438 | 2006-06-12 |
| Street Address |
712 SOUTH CASCADE STREET |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259973 | Jeffrey A Horak | Surgery | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2005-07-18 |
| 1083847685 | Heidi A Ottenbacher | Optometrist | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2009-08-29 |
| 1003004318 | Gwen P Nordahl | Physician Assistant | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2007-10-11 |
| 1437231750 | Michael J Vanvalkenburg | Emergency Medicine | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-19 |
| 1033205638 | Jerilyn J. Mitchell | Clinical Nurse Specialist | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-04 |
| 1992898936 | Janice Helena Needham Spies | Dietitian, Registered | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-10-02 |
| 1588765853 | Edward A Williams | Orthopaedic Surgery | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-26 |
| 1437250800 | Robert A Vennerstrom | Family Medicine | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-26 |
| 1902906225 | Gregory M. Smith | Pathology | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-25 |
| 1326148446 | Wade T Swenson II | Internal Medicine | 712 South Cascade Street, Fergus Falls, MN 56537-2813 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839715 | Thomas J Tedeschi | Audiologist | 150 S 5th St Ste 2300, Minneapolis, MN 55402-4223 | 2020-04-13 |
| 1902435514 | Robert Lang | Audiologist | 1597 Park Ave, White Bear Lake, MN 55110-3704 | 2020-04-06 |
| 1528625290 | Kara Rae Balken | Audiologist | 7300 France Ave S Ste 101, Edina, MN 55435-4525 | 2019-05-28 |
| 1538724612 | Elizabeth Mary Butler | Audiologist | 1155 E County Road E, Ste 100, Minneapolis, MN 55110-5191 | 2019-05-05 |
| 1417422445 | Joelle Peterson | Audiologist | 12925 16th Ave N, Plymouth, MN 55441-4560 | 2018-10-05 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1700313681 | Hannah Catherine Erickson Herd | Audiologist | 701 25th Ave S Fl 2, Minneapolis, MN 55454 | 2017-05-22 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1457711327 | Reynolds Audiology LLC | Audiologist | 2155 Woodlane Drive, Suite 103, Woodbury, MN 55125-3049 | 2016-03-04 |
| Find all providers with the same taxonomy | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
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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.