SARAH ANNE PANCHENKO


Address: 640 Jackson St, Saint Paul, MN 55101-2502
Phone: 6514956600

SARAH ANNE PANCHENKO (NPI# 1942636758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942636758
Entity Type Individual
Full Name SARAH ANNE PANCHENKO
Credential PA
Practice Address 640 Jackson St
Saint Paul
MN 55101-2502
Mailing Address Po Box 1309
Ms 21110q
Minneapolis
MN 55440-1309
Practice Telephone 6514956600
Practice Fax Number 9528839677
Mailing Telephone 6514956600
Mailing Fax Number 9528839677
Enumeration Date 2013-09-25
Last Update Date 2020-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1113461 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 640 JACKSON ST
City SAINT PAUL
State MN
Zip Code 55101-2502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780686378 Margaret Radermacher Schnobrich Nurse Anesthetist, Certified Registered 640 Jackson St, Saint Paul, MN 55101-2502 2005-08-12
1013518174 Katara Jo Henderson Student in an Organized Health Care Education/Training Program 640 Jackson St, Saint Paul, MN 55101-2595 2020-11-05
1013516087 Marit Sonnesyn Physician Assistant 640 Jackson St, Saint Paul, MN 55101-2502 2020-10-21
1114526027 Carolyn Besch Occupational Therapist 640 Jackson St, Saint Paul, MN 55101-2595 2020-10-21
1952908576 Mckenna Rebecca Splett Physical Therapist 640 Jackson St, Saint Paul, MN 55101-2502 2020-10-06
1164029997 Alyssa Jean Cutcher Physical Therapist 640 Jackson St, Saint Paul, MN 55101-2595 2020-10-05
1851998884 Danielle Chirhart Occupational Therapist 640 Jackson St, Saint Paul, MN 55101-2595 2020-10-02
1174130389 Frederick Schaefer Jr. Speech-Language Pathologist 640 Jackson St, Saint Paul, MN 55101-2502 2020-09-30
1538775853 Rebeca Joy Houle Nurse Anesthetist, Certified Registered 640 Jackson St, Saint Paul, MN 55101-2502 2020-09-22
1134733702 Nicholas Honda Pharmacist 640 Jackson St, Saint Paul, MN 55101-2502 2020-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1689211443 Siripa Min Nurse Anesthetist, Certified Registered 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 2019-11-28
1922590488 Diane Mcleod Physician Assistant Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 2018-05-31
1699284919 Eric Mcgillis Emergency Medicine Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 2017-09-29
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1992182323 Theresa Annette Cashdollar-powell Social Worker 640 Jackson, St Paul, MN 55101 2015-05-06
1770986101 Margaret Augusta Cutter Physician Assistant 200 Univeristy Ave E, Saint Paul, MN 55101 2014-09-30
1851641419 Lisa Rae Caturia Occupational Therapy Assistant 640 Jackson St, 8th Floor, St Paul, MN 55101 2012-09-11
1558619478 Rph On The Go Community/Behavioral Health 172 E 6th Street, 704, Saint Paul, MN 55101 2012-08-27
1184994212 Duyen Truong Pharmacist 604 Jackson Street, St. Paul, MN 55101 2012-01-05
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518404268 Jon Reynolds England Physician Assistant 225 Smith Ave N, Saint Paul, MN 55102-2533 2017-01-19
1972858280 Brigette Robbins Kerber Physician Assistant 401 Phalen Blvd, Saint Paul, MN 55130-5302 2012-07-24
1578830063 Anna Mercer Physician Assistant 45 10th St W, Saint Paul, MN 55102-1062 2011-11-28
1942417456 William Jeffrey Lippka Physician Assistant 640 Jackson St, General Surgery Dept, Saint Paul, MN 55101-2502 2007-05-16
1942421714 Karen K Maschka Physician Assistant 17 Exchange St W Ste 307, Saint Paul, MN 55102-1223 2007-05-01
1942342860 Scott Folland Physician Assistant 280 Smith Ave N Ste 500, Saint Paul, MN 55102-2424 2007-02-14
1992740575 Gina M Cincinelli Physician Assistant 401 Phalen Blvd, Saint Paul, MN 55130-5302 2006-06-18
1700858321 Donald T Armstrong Physician Assistant 17 Exchange St W, #222, Saint Paul, MN 55102-1045 2006-02-07
1588635015 Douglas Fischer Physician Assistant 17 Exchange St W, Saint Paul, MN 55102-1045 2006-02-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194120204 Nathan C Clapper Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2014-10-31
1003180555 Elizabeth K Saterenzoller Physician Assistant 1015 Marsh Street, Mankato, MN 56002-8673 2012-03-01
1477824472 Andrea Jo Pitzl Physician Assistant 3208 36th Ave Ne, St Anthony, MN 55418-1713 2012-01-23
1447560693 Jeanine Marie Edstrom Physician Assistant 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 2010-10-20
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1194042390 Gerald Frederick Anderson Physician Assistant 4060 Haines Rd, #104, Duluth, MN 55811-1746 2010-04-27
1558683904 Oswaldo Serge Physician Assistant 4036 3rd St Nw, Rochester, MN 55901-7564 2010-02-25
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1790922755 Jenelle Cecilia Rock Physician Assistant 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 2009-01-13
1174775514 Nathan J Nistler Physician Assistant 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 2008-10-16
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Competitor

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City SAINT PAUL
Zip Code 55101

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Dataset Information

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.

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