FALLON HAGY (NPI# 1750839296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750839296 |
| Entity Type | Organization |
| Organization Name | FALLON HAGY |
| Practice Address |
7332 Wyoming Trl Wyoming MN 55092-9343 |
| Practice Telephone | 7173276574 |
| Practice Fax Number | 6514089303 |
| Mailing Telephone | 7173276574 |
| Mailing Fax Number | 6514089303 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | FALLON HAGY (OWNER) |
| Authorized Official Telephone | 7173276574 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 1082496 | MN | Respite Care Facility |
| Street Address |
7332 WYOMING TRL |
| City | WYOMING |
| State | MN |
| Zip Code | 55092-9343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578012126 | Fallon Hagy | Community Health Worker | 7332 Wyoming Trl, Wyoming, MN 55092-9343 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| 1588028955 | Kevin Anthony Brueske | Pediatrics | 5200 Fairview Blvd, Wyoming, MN 55092 | 2016-04-11 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846385 | Qoraxey Home Health Care Inc | Respite Care | 3617 E Lake St Ste B, Minneapolis, MN 55406-2148 | 2020-09-22 |
| 1548886476 | Diane Mary Skramstad | Respite Care | 539 123rd Ave Nw, Coon Rapids, MN 55448-2617 | 2020-06-16 |
| 1881218725 | Sarah E Moss | Respite Care | 12537 60th St, Princeton, MN 55371-6626 | 2020-06-06 |
| 1104464668 | A To Z Care LLC | Respite Care | 2999 County Road 42 W Ste 200, Burnsville, MN 55306-6995 | 2019-12-16 |
| 1891330627 | Pal Enterprises L.L.C. | Respite Care | 2501 Serenity Dr, Saint Cloud, MN 56301-9177 | 2019-11-15 |
| 1457994410 | Richard John Budde | Respite Care | 409 5th St Nw, Saint Michael, MN 55376-1041 | 2019-10-22 |
| 1720637549 | Charm Home Care LLC | Respite Care | 3249 Hennepin Ave Ste 75, Minneapolis, MN 55408-3410 | 2019-09-04 |
| 1346800687 | Betty Karen Voss Haberle | Respite Care | 1971 Pine Cone Rd, Saint Cloud, MN 56303-4618 | 2019-06-18 |
| 1619410412 | Van Dyke Kofi Noah | Respite Care | 4836 Safari Pass, Eagan, MN 55122-2663 | 2016-11-28 |
| 1679023113 | Jayne Halpaus | Respite Care | 3605 Upper 149th St W, Rosemount, MN 55068-4249 | 2016-10-07 |
| 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.