TRENT R WHITCOMB (NPI# 1952408197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952408197 |
| Entity Type | Individual |
| Full Name | TRENT R WHITCOMB |
| Credential | PA |
| Practice Address |
640 Jackson Street Mc 115031 St Paul MN 55101-2502 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6512545701 |
| Practice Fax Number | 6512541519 |
| Mailing Telephone | 9528835463 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-09-20 |
| 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 | 908 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
640 JACKSON STREET MC 115031 |
| City | ST PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306095336 | Chelsey Jane Tollefson-hauer | Social Worker | 640 Jackson Street, St Paul, MN 55101-2502 | 2008-09-15 |
| 1205085594 | Margaret Mary Gallus | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 21110q, St Paul, MN 55101-2502 | 2008-09-11 |
| 1942473335 | Heather Ellsworth | Emergency Medicine | 640 Jackson Street, Regions Hospital, St Paul, MN 55101 | 2008-04-08 |
| 1982763660 | Gwendolyn A Polaski | Physician Assistant | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-12-08 |
| 1750477626 | Carol C Hunter | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-10-05 |
| 1992802060 | Steven G Kremer | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-09-20 |
| 1336250174 | Mitchell P Chermack | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-08-31 |
| 1386653889 | Rory S Kortan | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-08-05 |
| 1477580348 | Kristin M Sticha | Nurse Practitioner | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-06-27 |
| 1992732804 | Kenneth D Mckinney | Nurse Anesthetist, Certified Registered | 640 Jackson Street, Mail Stop 11503p, St Paul, MN 55101-2502 | 2006-06-27 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55101 | ||||
| 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 |
|---|---|---|---|---|
| 1235697509 | Jeff O Bohlman | Physician Assistant | United Pain Center, 255 Smith Ave N #100, St Paul, MN 55102-2518 | 2019-03-06 |
| 1851559579 | Hilarie Orton | Physician Assistant | 200 University Dr, St Paul, MN 55101 | 2008-05-29 |
| 1477736684 | Candice M Bolling | Physician Assistant | 16431 Wise St, St Paul, VA 24283 | 2007-12-11 |
| 1558321695 | Kadee I Watkins | Physician Assistant | 2550 University Ave W Suite 423 S, St Paul, MN 55114 | 2006-03-24 |
| 1639148604 | Aloysius B Forcha | Physician Assistant | 45 W. 10th St, St Paul, MN 55102 | 2006-03-14 |
| 1881671162 | Nicolle Michelle Lande | Physician Assistant | 2550 University Avenue West, Suite 229n, St Paul, MN 55114 | 2005-12-28 |
| 1407375223 | Yu Guan | Physician Assistant | 640 Jackson St, St Paul, MN 55101 | 2017-09-12 |
| 1477092690 | Laura Ann Gonshorowski | Physician Assistant | 225 Smith Ave N, Suite 201, St Paul, MN 55102-2697 | 2017-02-21 |
| 1487997342 | Dawn Marie Coudron | Physician Assistant | 333 N Smith Ave, St Paul, MN 55102-3723 | 2013-03-29 |
| 1982763660 | Gwendolyn A Polaski | Physician Assistant | 640 Jackson Street, St Paul, MN 55101-2502 | 2006-12-08 |
| Find all providers in ST PAUL | ||||
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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.