SRDJAN GAJIC (NPI# 1689036568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689036568 |
| Entity Type | Individual |
| Full Name | SRDJAN GAJIC |
| Practice Address |
707 Meadow Run Dr Sw Rochester MN 55902-2340 |
| Practice Telephone | 6126692458 |
| Mailing Telephone | 6126692458 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
707 MEADOW RUN DR SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1497362925 | Alexandra Michelle Hasiotis | Student in an Organized Health Care Education/Training Program | 36 Copperfield Rd, Rochester, NY 14615-1102 | 2020-09-29 |
| 1750905873 | Anna C Lin | Student in an Organized Health Care Education/Training Program | 419 7th Ave Sw, Rochester, MN 55902-3216 | 2020-06-04 |
| 1558985101 | Erin Marissa Hannigan | Student in an Organized Health Care Education/Training Program | 4802 8th St Sw, Rochester, MN 55902-8711 | 2020-05-29 |
| 1710501408 | Anna Dowling | Student in an Organized Health Care Education/Training Program | 609 E 2650 North Rd, Rochester, IL 62563-8108 | 2020-05-29 |
| 1689296386 | Bryan Liming Jan | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 632, Rochester, NY 14642-0001 | 2020-05-15 |
| 1780206474 | Robert Tainsh | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 | 2020-05-15 |
| 1578185302 | Shaahin Dadjoo | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 | 2020-05-14 |
| 1578185534 | Starling Tolliver | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 | 2020-05-13 |
| 1548882707 | Christian A Archer | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 | 2020-05-11 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on SRDJAN GAJIC.
| 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.