WILLIAM ALLEN BRUEMMER (NPI# 1912012881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912012881 |
| Entity Type | Individual |
| Full Name | WILLIAM ALLEN BRUEMMER |
| Credential | OPA-C |
| Practice Address |
901 9th St N Suite 314 Virginia MN 55792-2325 |
| Mailing Address |
3920 13th Ave E Suite 6 Hibbing MN 55746-3675 |
| Practice Telephone | 2187428690 |
| Mailing Telephone | 2182637540 |
| Mailing Fax Number | 8667320699 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8891 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 327L0BR | 01 |
| Street Address |
901 9TH ST N SUITE 314 |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617120 | Essentia Health Virginia, LLC | General Acute Care Hospital | 901 9th St N, Virginia, MN 55792-2325 | 2005-05-23 |
| 1174184717 | Zachary B Horoshak | Physician Assistant | 901 9th St N, Virginia, MN 55792-2325 | 2019-06-25 |
| 1629543368 | Rachel Anne Eisenhuth | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2018-10-09 |
| 1194214858 | Haley Therese Mckee | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2018-05-08 |
| 1518478346 | Melissa M. Devries | Nurse Practitioner | 901 9th St N, Virginia, MN 55792-2325 | 2017-10-19 |
| 1417474461 | Katy Decker | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2017-08-29 |
| 1548613144 | Molly Ongaro | Dietitian, Registered | 901 9th St N, Virginia, MN 55792-2325 | 2016-07-19 |
| 1508244864 | Tally Puffer | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2015-05-07 |
| 1679968010 | David Martin Fedor | Surgery | 901 9th St N, Virginia, MN 55792-2325 | 2015-04-02 |
| 1114315652 | Sara Luoma | Nurse Practitioner | 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792-2325 | 2015-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
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| 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 |
|---|---|---|---|---|
| 1174184717 | Zachary B Horoshak | Physician Assistant | 901 9th St N, Virginia, MN 55792-2325 | 2019-06-25 |
| 1528440849 | Jessica Lahti | Physician Assistant | 1101 9th St N, Virginia, MN 55792-2329 | 2015-06-23 |
| 1821416926 | Elaine Svoboda Hammond | Physician Assistant | 8373 Unity Dr, Virginia, MN 55792-4005 | 2014-04-04 |
| 1467882647 | Margaret Waechter | Physician Assistant | 1101 9th St N, Virginia, MN 55792-2329 | 2013-11-25 |
| 1578863924 | Cherokee Rose Lee Rova | Physician Assistant | 1101 9th St N, Virginia, MN 55792-2329 | 2010-11-01 |
| 1376602813 | Lisa Ann Huyck | Physician Assistant | 1101 9th St N, Virginia, MN 55792-2329 | 2006-12-08 |
| 1932209673 | Nicholas Jason Delich | Physician Assistant | 1101 9th St N, Virginia, MN 55792-2329 | 2006-09-23 |
| 1144253113 | Nancy Lee Magnine | Physician Assistant | 1101 9th St N, Virginia, MN 55792-2329 | 2006-07-09 |
| 1003846668 | Gidget Peterson | Physician Assistant | 901 9th St N, Virginia, MN 55792-2329 | 2006-07-03 |
| 1992750236 | David Heriford | Physician Assistant | 331 S Main St, Virginia, IL 62691-1519 | 2006-05-24 |
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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.