PATRICK D MACHACEK


Address: 10633 Vincent Ave S, Bloomington, MN 55431-3733
Phone: 9524849721

PATRICK D MACHACEK (NPI# 1760865133) 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) 1760865133
Entity Type Individual
Full Name PATRICK D MACHACEK
Credential PA-C
Practice Address 10633 Vincent Ave S
Bloomington
MN 55431-3733
Practice Telephone 9524849721
Mailing Telephone 9524849721
Enumeration Date 2015-07-03
Last Update Date 2015-07-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10633 VINCENT AVE S
City BLOOMINGTON
State MN
Zip Code 55431-3733

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508496621 Samantha Jean Mcgough Lamere Physician Assistant 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 2020-01-16
1386292886 Quinn Harmon Physician Assistant 1310 W Bloomfield Rd Ste C, Bloomington, IN 47403-2001 2019-08-28
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1730619487 Elise Nicole Lill Physician Assistant 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 2017-06-15
1528417557 Kathryn Shalbrack Physician Assistant 4300 Marketpointe Dr, Bloomington, MN 55435-5423 2016-06-09
1740634203 Alfonso Luna IIi Physician Assistant 657 S Lancewood Ave, Bloomington, CA 92316-1336 2016-04-20
1215308671 Sara Ann Houk Physician Assistant 2200 E. Washington St, Bloomington, IL 61701-4323 2015-10-12
1558740803 Samuel Johnson Physician Assistant 2901 Metro Drive, Suite 527, Bloomington, MN 55122 2015-05-20
1881085389 Jennifer Ann Sutherland Physician Assistant 8645 Stevens Ave S, Bloomington, MN 55420-2947 2015-02-05
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Competitor

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City BLOOMINGTON
Zip Code 55431

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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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