CHARLES D MOEHNKE (NPI# 1700852100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700852100 |
| Entity Type | Individual |
| Full Name | CHARLES D MOEHNKE |
| Credential | PA-C |
| Practice Address |
1350 Jefferson Dr Zumbrota MN 55992-1180 |
| Mailing Address |
701 Hewitt Blvd Red Wing MN 55066-2848 |
| Practice Telephone | 6512675000 |
| Mailing Telephone | 6512675000 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8893 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1350 JEFFERSON DR |
| City | ZUMBROTA |
| State | MN |
| Zip Code | 55992-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053304576 | Eric A Poulin | Family Medicine | 1350 Jefferson Dr, Zumbrota, MN 55992-1180 | 2005-08-30 |
| 1659985281 | Jeffrey Michael Post | Nurse Practitioner | 1350 Jefferson Dr, Zumbrota, MN 55992-1180 | 2020-09-01 |
| 1881804755 | Emily M Daligga | Internal Medicine | 1350 Jefferson Dr, Zumbrota, MN 55992-1180 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649782137 | Jennifer Lynn Fogarty | Physical Therapist | 32021 Country 24 Boulevard, Cannon Falls, MN 55992 | 2017-10-25 |
| 1700813623 | Andrea Kristin Smothers | Social Worker | 77 West 5th Street, Zumbrota, MN 55992 | 2006-06-27 |
| 1245258722 | Covered Bridge Family Resources LLC | Social Worker | 77 West 5th Street, Zumbrota, MN 55992 | 2006-07-17 |
| 1225029697 | Kevin Langeson Kish | Optometrist | 352 S Main St, Box 38, Zumbrota, MN 55992-0038 | 2005-11-03 |
| 1437716073 | Daves Transport LLC | Private Vehicle | 615 W 5th St, Zumbrota, MN 55992-1157 | 2019-05-20 |
| 1407312614 | David Allen Danielson | Non-emergency Medical Transport (VAN) | 615 W 5th St, Zumbrota, MN 55992-1157 | 2019-02-12 |
| 1053360602 | Zumbrota Health Services | Home Health | 295 W 4th St, Zumbrota, MN 55992-1252 | 2006-05-10 |
| 1548533516 | James Allen Kurth | Pharmacist | 453 Overlook Cir, Zumbrota, MN 55992-1282 | 2012-02-21 |
| 1285794578 | Zumbrota Area Ambulance Association | Ambulance | 1439 S Main St, Zumbrota, MN 55992-1459 | 2006-12-10 |
| 1861592875 | Stacy Mae Johnson | Chiropractor | 118 E 4th St, Zumbrota, MN 55992-1520 | 2006-09-22 |
| Find all providers in zip 55992 | ||||
| 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 |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 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.