MATTHEW AHLSKOG (NPI# 1760953897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760953897 |
| Entity Type | Individual |
| Full Name | MATTHEW AHLSKOG |
| Credential | PA |
| Practice Address |
100 State Ave Faribault MN 55021-6337 |
| Mailing Address |
2652 89th Ct W Northfield MN 55057-4767 |
| Practice Telephone | 5073343921 |
| Mailing Telephone | 5073583395 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 STATE AVE |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745022 | Terence P Cahill | Family Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2005-07-22 |
| 1336754555 | Allina Health System | Clinic/Center | 100 State Ave, Faribault, MN 55021-6337 | 2020-09-14 |
| 1952963670 | Joni Renee Rykken | Audiologist | 100 State Ave, Faribault, MN 55021-6337 | 2019-07-02 |
| 1376026989 | Sheryl Borka | Social Worker | 100 State Ave, Faribault, MN 55021 | 2018-09-10 |
| 1255812590 | Griselda Lopez | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2018-08-24 |
| 1255731220 | Michelle Crosby | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2014-08-27 |
| 1871907246 | Sakina Sachak | Emergency Medicine | 100 State Ave, Faribault, MN 55021-6337 | 2014-06-13 |
| 1992050330 | Christine M Werner | Nurse Practitioner | 100 State Ave, Faribault, MN 55021-6337 | 2012-07-23 |
| 1932461480 | Jennifer Hart | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2012-06-11 |
| 1003112459 | Allina Health System | Clinic/Center | 100 State Ave, Faribault, MN 55021-6337 | 2011-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916763 | Jesse Michael Anderson | Physician Assistant | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2020-03-10 |
| 1851858674 | Maksim Kozak | Physician Assistant | 35 State Ave Ste 1, Faribault, MN 55021 | 2019-02-28 |
| 1932461480 | Jennifer Hart | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2012-06-11 |
| 1518115658 | Nyahon Chieng Chut | Physician Assistant | 35 State Avenue, Faribault, MN 55021 | 2008-09-03 |
| 1417022690 | Christopher J Church | Physician Assistant | 200 State Ave, Faribault, MN 55021-6339 | 2006-11-22 |
| 1275646978 | Meganne Gourley | Physician Assistant | 100 State Ave, Faribault, MN 55021-6337 | 2006-08-16 |
| 1649233081 | Debra Mary Mcguire Lang | Physician Assistant | 1645 Lyndale Ave N Ste 103, Faribault, MN 55021-2935 | 2006-04-07 |
| 1164400057 | Travis L Roethler | Physician Assistant | 300 State Ave, Faribault, MN 55021-6319 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
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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.