PEDIATRIC AND YOUNG ADULT MEDICINE, PA (NPI# 1932316916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932316916 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND YOUNG ADULT MEDICINE, PA |
| Practice Address |
1804 7th St W Suite 200 Saint Paul MN 55116-2300 |
| Practice Telephone | 6512277806 |
| Practice Fax Number | 6512566766 |
| Mailing Telephone | 6512277806 |
| Mailing Fax Number | 6512566766 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | MS. TERRI M JOSEPH (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6512566706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
154 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1104806165 | 05 | |
| MN | 1861558835 | 05 | |
| MN | 1386991339 | 05 | |
| MN | 1497735419 | 05 | |
| MN | 1083694046 | 05 | |
| MN | 1477870921 | 05 | |
| MN | 1881057065 | 05 | |
| MN | 1245210095 | 05 | |
| MN | 1912987900 | 05 | |
| MN | 1245210210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129812 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1610 Maxwell Dr, Suite 245, Hudson, WI 54016-8709 | 2009-04-03 |
| 1457593550 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 125, Lake Elmo, MN 55042-9747 | 2009-04-03 |
| 1205078300 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 3470 Washington Dr, Suite 201, Eagan, MN 55122-1355 | 2009-04-03 |
| 1295977395 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2009-04-03 |
| Street Address |
1804 7TH ST W SUITE 200 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55116-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083694046 | Richard Louis Baron | Pediatrics | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2006-01-18 |
| 1386991339 | Elizabeth Madden | Nurse Practitioner | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2012-08-09 |
| 1861558835 | Caylynn Ann Wallace Marcelle | Nurse Practitioner | 1804 7th St W, Saint Paul, MN 55116-2300 | 2006-12-27 |
| 1245210210 | Duane C Skar | Pediatrics | 1804 7th St W, Saint Paul, MN 55116-2300 | 2006-01-18 |
| 1104806165 | Thomas D Siefferman | Pediatrics | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2006-01-18 |
| 1912987900 | Cynthia L Garr | Pediatrics | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2006-01-18 |
| 1245210095 | Julie A Saxton | Pediatrics | 1804 7th St W, Saint Paul, MN 55116-2300 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568017374 | The Bridge Autism Clinic LLC | Clinic/Center | 690 Cleveland Ave South, Suite 100, St Paul, MN 55116 | 2019-08-08 |
| 1205306875 | Center for Validation and Change, L.L.C. | Social Worker | 790 Cleveland Avenue S. Ste; 211 790, St. Paul, MN 55116 | 2018-11-27 |
| 1114391307 | Therese Ann Wengler | Rehabilitation Hospital | 1206 Niles Avenue, Saint Paul, MN 55116 | 2015-11-25 |
| 1306220579 | Lauren Ann Wier | Social Worker | 577 Wawick St, Saint Paul, MN 55116 | 2015-07-16 |
| 1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
| 1316336803 | Ryan W. Nolte | Chiropractor | 1150 Montreal Ave Ste 101, Saint Paul, MN 55116 | 2015-01-21 |
| 1316348642 | Highland Gw, LLC | Assisted Living Facility | 1925 Graham Avenue, St. Paul, MN 55116 | 2014-09-05 |
| 1972941185 | Creations Midwifery, LLC | Advanced Practice Midwife | 1235 Saint Paul Avenue, Saint Paul, MN 55116 | 2013-06-10 |
| 1992075428 | Nels Health Care, LLC | Licensed Practical Nurse | 2285 Stewart Ave, Suite 1107, St Paul, MN 55116 | 2011-12-30 |
| 1962717728 | Lindsey Hammond Teigland | Psychologist | 690 Cleveland Avenue South, St. Paul, MN 55116 | 2010-08-17 |
| Find all providers in zip 55116 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053591586 | Hmong Chiropractic Clinic, Pllc | Clinic/Center | 616 Rice St, Suite B, Saint Paul, MN 55103-1827 | 2007-11-13 |
| 1558512632 | Danielle Trego, Pa | Clinic/Center | 50 Cretin Ave S, Saint Paul, MN 55105-1042 | 2008-10-07 |
| 1225295959 | Arcade Medical Clinic | Clinic/Center | 651 Arcade St, Saint Paul, MN 55106-4518 | 2008-05-20 |
| 1073650677 | University of Minnesota Physicians | Clinic/Center | 580 Rice Street, Bethesda Clinic, Saint Paul, MN 55103 | 2007-01-31 |
| 1669519278 | University of Minnesota Physicians | Clinic/Center | 1414 Maryland Ave E, Phalen Village Clinic, Saint Paul, MN 55106 | 2007-01-31 |
| 1265547533 | David L. Gilbertson, Do, Pa | Clinic/Center | 2315 Como Ave, Saint Paul, MN 55108-1723 | 2006-08-20 |
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|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55116 |
Please comment or provide details below to improve the information on PEDIATRIC AND YOUNG ADULT MEDICINE, PA.
| 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.