LEAH ANNE ZUPANCICH (NPI# 1811164007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811164007 |
| Entity Type | Individual |
| Full Name | LEAH ANNE ZUPANCICH |
| Other Name | LEAH ANNE CLARK |
| Credential | PA-C |
| Practice Address |
2545 Chicago Ave. S. Suite 106 Minneapolis MN 55404 |
| Practice Telephone | 6128138800 |
| Practice Fax Number | 6128138825 |
| Mailing Telephone | 6128138800 |
| Mailing Fax Number | 6128138825 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
10401 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2545 CHICAGO AVE. S. SUITE 106 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124123120 | Bonnie White Marsh | Physician Assistant | 1 Veterans Dr # 112, Minneapolis, MN 55417-2309 | 2006-09-14 |
| 1114990272 | Sangeetha Larsen | Physician Assistant | 1000 Nicollet Mall # 17-642, Minneapolis, MN 55403-2542 | 2006-02-09 |
| 1548815160 | Karissa Soraya Simyab | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2019-08-09 |
| 1982185328 | Monica Ellen Stassi-fritz | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2018-08-23 |
| 1477060572 | David Wade Mcgehee | Physician Assistant | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-01-10 |
| 1851808828 | Julia Curry | Physician Assistant | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-12-29 |
| 1831643899 | Patrick James Halbach | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2016-08-08 |
| 1609229749 | Joseph Mark Kaisersatt | Physician Assistant | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2016-07-13 |
| 1831580901 | Jessica Knuppel | Physician Assistant | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2015-02-11 |
| 1750784013 | Mila Kabakova | Physician Assistant | 913 E 26th St, Suite #600, Minneapolis, MN 55404-4515 | 2014-10-01 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on LEAH ANNE ZUPANCICH.
| 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.