NGA PHA DAO (NPI# 1710251434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710251434 |
Entity Type | Individual |
Full Name | NGA PHA DAO |
Other Name | NGA PHA DAO |
Credential | PA-C |
Practice Address |
2807 Brookdale Dr Brooklyn Park MN 55444-1844 |
Mailing Address |
5201 Halifax Ave S Edina MN 55424-1402 |
Practice Telephone | 7632379898 |
Mailing Telephone | 6128759961 |
Enumeration Date | 2012-02-27 |
Last Update Date | 2019-11-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
11090 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2807 BROOKDALE DR |
City | BROOKLYN PARK |
State | MN |
Zip Code | 55444-1844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871560953 | Richard P Lamon | Emergency Medicine | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2006-03-07 |
1326559576 | Crystal J Ford | Counselor | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2017-10-16 |
1669990305 | Nicole Ray Groschen | Social Worker | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2017-09-01 |
1518205731 | Sarah Jane Neujahr | Marriage & Family Therapist | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2013-01-23 |
1801149505 | Valhalla Place, LLC | Social Worker | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2012-10-18 |
1336439306 | Elizabeth A Douglas | Counselor | 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844 | 2011-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124541404 | Sharon Novell | Private Vehicle | 8411 Sheridan Av N, Minneapolis, MN 55444 | 2017-07-19 |
1053692491 | Akwen Joan Morcho | Registered Nurse | 9733 Thomas Ave N, Brooklyn Park, MN 55444-1011 | 2011-08-30 |
1497811244 | B D Edwards and Co.,llc | Home Health | 2716 98th Ave N, Brooklyn Park, MN 55444-1020 | 2006-12-28 |
1346870201 | The Grace Home Health Services LLC | Home Health | 9707 Penn Ave N, Brooklyn Park, MN 55444-1031 | 2020-01-20 |
1003118787 | Jessica Marie Coleman | Doula | 2401 96th Ave N, Brooklyn Park, MN 55444-1148 | 2010-12-01 |
1386101129 | Aspen Home Health Care Inc. | In Home Supportive Care | 9508 Upton Ave N, Brooklyn Park, MN 55444-1157 | 2019-02-28 |
1265079404 | Phinsaykeo Souriyathay | Assisted Living Facility | 9300 Penn Ave N, Brooklyn Park, MN 55444-1166 | 2019-12-06 |
1326258336 | Pang Tang Her | Technician | 9217 W River Rd, Brooklyn Park, MN 55444-1219 | 2007-05-22 |
1508341157 | Todd David Hanson | Registered Nurse | 1601 89th Ave N, Brooklyn Park, MN 55444-1233 | 2018-09-29 |
1134750789 | Lamonica Barthelemy | Technician | 9232 James Ave N, Brooklyn Park, MN 55444-1234 | 2020-02-03 |
Find all providers in zip 55444 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164686614 | Chris M Jones | Physician Assistant | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2008-07-14 |
1932392776 | Jessica Sindt | Physician Assistant | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2007-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
Find all providers with the same taxonomy |
City | BROOKLYN PARK |
Zip Code | 55444 |
Please comment or provide details below to improve the information on NGA PHA DAO.
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.