NGA PHA DAO


Address: 2807 Brookdale Dr, Brooklyn Park, MN 55444-1844
Phone: 7632379898

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2807 BROOKDALE DR
City BROOKLYN PARK
State MN
Zip Code 55444-1844

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City BROOKLYN PARK
Zip Code 55444

Improve Information

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Dataset Information

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.

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