STEPHANIE MARIE WEINBERGER (NPI# 1861881625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861881625 |
| Entity Type | Individual |
| Full Name | STEPHANIE MARIE WEINBERGER |
| Credential | PA-C |
| Practice Address |
1300 University Ave W Saint Paul MN 55104-4103 |
| Mailing Address |
3655 Plymouth Blvd Ste 110 Plymouth MN 55446-3665 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 6124864200 |
| Mailing Fax Number | 6124864201 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
11716 | MN | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 11716 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1300 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962424648 | Grand St Paul Cvs LLC | Pharmacy | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2006-07-24 |
| 1649786138 | Ikechukwu Okechukwu | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2017-12-19 |
| 1356719918 | Jeena Lee | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2015-09-11 |
| 1447648506 | Target Clinic | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-12-24 |
| 1124436464 | David Andrew Spande | Optometrist | 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104-4103 | 2014-07-31 |
| 1245659903 | Tara Marie Olson | Nurse Practitioner | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2014-04-09 |
| 1497027825 | Nicholas Maddux | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2012-02-01 |
| 1760779649 | Trenton William Srstka | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2011-06-29 |
| 1336434794 | Tara Jean Tindall | Pharmacist | 1300 University Ave W, Saint Paul, MN 55104-4103 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| 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 |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1679107841 | Kelsey Locken | Physician Assistant | 2285 University Ave W Unit 161, Saint Paul, MN 55114-1645 | 2020-02-26 |
| 1497395719 | Demitri Nichelle Gockel | Physician Assistant | 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 | 2020-01-14 |
| 1245870203 | Ashley Kay Warner | Physician Assistant | 640 Jackson St # 11102f, Saint Paul, MN 55101-2595 | 2020-01-07 |
| 1275171795 | Keith Fertey Moy | Physician Assistant | 594 Montrose Ln, Saint Paul, MN 55116-1158 | 2019-12-16 |
| 1609417757 | Mh 101, PC | Physician Assistant | 1999 Shepard Rd, Saint Paul, MN 55116-3210 | 2019-09-30 |
| 1760048946 | Amity Alice Carlson | Physician Assistant | 1600 University Ave W Ste 205, Saint Paul, MN 55104-3825 | 2019-05-14 |
| 1740747872 | Angela Marie Schlangen | Physician Assistant | 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 | 2019-02-25 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1649720533 | Jeffrey Charles Otis | Physician Assistant | 405 Nebraska Ave E, Saint Paul, MN 55130-3226 | 2016-10-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
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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.