JAENA WISNIEWSKI (NPI# 1710032594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710032594 |
| Entity Type | Individual |
| Full Name | JAENA WISNIEWSKI |
| Credential | MD |
| Practice Address |
2945 Hazelwood St Ste 310 Maplewood MN 55109-1244 |
| Practice Telephone | 6512641500 |
| Mailing Telephone | 6512641500 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
68895-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
52638 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 |
| Street Address |
2945 HAZELWOOD ST STE 310 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528099538 | Kristi Lee Werdin | Pathology | 2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 | 2006-07-06 |
| 1225060346 | Byron H Simmons | Pathology | 2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528099538 | Kristi Lee Werdin | Pathology | 2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 | 2006-07-06 |
| 1609827484 | Central Regional Pathology Laboratories | Pathology | 2945 Hazelwood Street, Suite 310, Maplewood, MN 55109-1244 | 2006-05-15 |
| 1225060346 | Byron H Simmons | Pathology | 2945 Hazelwood St Ste 310, Maplewood, MN 55109-1241 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831627702 | Cade Dylan Arries | Pathology | 420 Delaware St Se # D142, Minneapolis, MN 55455-0341 | 2017-05-23 |
| 1013337773 | Kevin Jee Ha | Pathology | 172 6th St E Apt 1906, Saint Paul, MN 55101-1978 | 2014-04-22 |
| 1902238231 | Patrick Joseph Parks | Pathology | 2282 Field Stone Dr, Mendota Heights, MN 55120-1918 | 2013-08-09 |
| 1538505862 | Mary Louise Ulrickson | Pathology | 824 Westwood Dr S, Golden Valley, MN 55416-3355 | 2013-05-14 |
| 1386872620 | Ronald L Villella | Pathology | 13393 Danube Cir, Rosemount, MN 55068-3168 | 2009-06-25 |
| 1679791230 | Ann Marie Connor | Pathology | 1080 County Rd D W, Apt. 24, Roseville, MN 55126-3766 | 2007-04-20 |
| 1841349149 | Ken Julian Takekoshi | Pathology | 1766 Trail Rd, Mendota Heights, MN 55118-3730 | 2007-01-09 |
| 1669551693 | Martin L Lipschultz | Pathology | 716 Meadow Ln S, Minneapolis, MN 55416-3417 | 2006-11-02 |
| 1831281641 | Ajay Rawal | Pathology | 640 Jackson St - Mc 11103e, Hehealthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-09-29 |
| 1639284870 | Michael Andrew Linden | Pathology | 420 Deleware St. Se, Mmc 609, Minneapolis, MN 55455 | 2006-08-20 |
| 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.