JENNIFER DEAN DWYER (NPI# 1770551475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770551475 |
| Entity Type | Individual |
| Full Name | JENNIFER DEAN DWYER |
| Credential | PA |
| Practice Address |
200 W 1st St Paynesville MN 56362-1445 |
| Mailing Address |
21555 Fireside Ct Cold Spring MN 56320-8704 |
| Practice Telephone | 3202433779 |
| Practice Fax Number | 3202436707 |
| Mailing Telephone | 3206857091 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8809 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033524640 | Jennifer Dwyer | Urology | 984110 Nebraska Medical Ctr, Omaha, NE 68198-4110 | 2014-06-23 |
| 1902821218 | Jennifer N Dwyer | Pediatrics | 62 Conservatory Dr, Building D, Suite A, Barberton, OH 44203-9002 | 2006-07-13 |
| 1891156147 | Jennifer Lynn Dwyer | Counselor | 7969 Ashton Ave, Manassas, VA 20109-2885 | 2016-03-15 |
| 1003251604 | Jennifer Buenzle Dwyer | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-05-08 |
| 1336499870 | Jennifer Carlyn Palm Dwyer | Physician Assistant | 100 Michigan St Ne, Suite A721, Grand Rapids, MI 49503-2560 | 2012-09-12 |
| 1508122714 | Jennifer Dwyer | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, M-793, San Francisco, CA 94143-0114 | 2012-04-02 |
| 1477708329 | Jennifer Anne Dwyer | Family Medicine | 1625 Oregon Pike, Lancaster, PA 17601-4335 | 2008-11-19 |
| 1861659369 | Jennifer Lynn Dwyer | Physical Medicine & Rehabilitation | 4646 N Marine Dr, 4th Floor Rehab, Chicago, IL 60640-5759 | 2008-05-21 |
| 1386858934 | Jennifer Dwyer | Registered Nurse | 70 Dubois Street, St. Lukes Hospital, Newburgh, NY 12550-3550 | 2007-05-10 |
| 1720138266 | Jennifer A Dwyer | Registered Nurse | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2007-01-10 |
| Street Address |
200 W 1ST ST |
| City | PAYNESVILLE |
| State | MN |
| Zip Code | 56362-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291539 | Kristine M Cervin | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2005-11-02 |
| 1356942478 | Atuobi Nana Yiadom | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2020-11-04 |
| 1427568500 | Sarah Jane Revermann | Nurse Practitioner | 200 W 1st St, Paynesville, MN 56362-1445 | 2017-10-03 |
| 1225550858 | Thakul None Rattanasuwan | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2017-07-14 |
| 1982152161 | Erin Warner | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2016-09-15 |
| 1356795108 | John Kenneth Tronnes | Family Medicine | 200 W 1st St, Paynesville, MN 56362-1445 | 2016-04-18 |
| 1194100164 | Wendy Michelle Miller | Registered Nurse | 200 W 1st St, Paynesville, MN 56362-1445 | 2015-07-20 |
| 1447679188 | Christopher Anderson | Family Medicine | 200 W 1st St, Paynesville, MN 56362-1445 | 2014-04-09 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 1033543921 | Centracare Health-paynesville LLC | Skilled Nursing Facility | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174055321 | Ginelle Rae Zimmerman | Family Medicine | 200 W 1st Street, Paynesville, MN 56362 | 2017-03-28 |
| 1710173877 | Jennifer Ann Klocker | Pharmacist | 200 West First Street, Paynesville, MN 56362 | 2007-09-21 |
| 1033322599 | Teresa Marie Winter | Massage Therapist | 750 State Hwy 55, Paynesville, MN 56362 | 2007-05-08 |
| 1336225838 | Donald Arther Millner | Dentist | 204 West James Street, Paynesville, MN 56362 | 2006-10-27 |
| 1760485908 | Todd D Lemke | Pharmacist | 200 First St W, Paynesville, MN 56362 | 2005-05-23 |
| 1275846487 | Paynesville Area Living At Home Block Nurse Program | Voluntary or Charitable | 1105 W Main St, Paynesville, MN 56362-1000 | 2010-07-16 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1932404688 | Serenity Path Inc. | Clinic/Center | 117 W James St, Box 3, Paynesville, MN 56362-1216 | 2011-01-11 |
| 1730709007 | Lisa Joy Klein-conrad | Counselor | 117 W James St, Paynesville, MN 56362-1216 | 2020-04-16 |
| 1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
| Find all providers in zip 56362 | ||||
| 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 |
|---|---|---|---|---|
| 1700895604 | Daniel M Lillquist | Physician Assistant | 200 W 1st St, Paynesville, MN 56362 | 2006-08-07 |
| 1457329393 | Jacqueline S Osterhaus | Physician Assistant | 200 W 1st St, Paynesville, MN 56362-1445 | 2006-03-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PAYNESVILLE |
| Zip Code | 56362 |
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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.