KEVIN TODD BARTENBERGER


Address: 1000 1st Dr Nw, Austin, MN 55912-2941
Phone: 5074337351

KEVIN TODD BARTENBERGER (NPI# 1972072700) 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) 1972072700
Entity Type Individual
Full Name KEVIN TODD BARTENBERGER
Credential PA-C
Practice Address 1000 1st Dr Nw
Austin
MN 55912-2941
Mailing Address 3113 Lake Vista Dr Nw
Rochester
MN 55901-7407
Practice Telephone 5074337351
Mailing Telephone 5135151234
Enumeration Date 2018-11-22
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 12861 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 1st St Sw, Rochester, MN 559052941 5072842511

Office Location

Street Address 1000 1ST DR NW
City AUSTIN
State MN
Zip Code 55912-2941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316941834 Diana L Nelson Physician Assistant 1000 1st Dr Nw, Austin, MN 55912-2941 2005-06-13
1811500341 Mayo Clinic Health System-southeast Minnesota Region Non-Pharmacy Dispensing Site 1000 1st Dr Nw, Austin, MN 55912-2941 2020-08-25
1992325674 Samantha Jo Barrie Occupational Therapist 1000 1st Dr Nw, Austin, MN 55912-2941 2020-04-22
1134752009 Aejin Kwak Pharmacist 1000 1st Dr Nw, Austin, MN 55912-2941 2020-02-19
1518513639 Sarah Lynne Gerard Nurse Practitioner 1000 1st Dr Nw, Austin, MN 55912-2941 2019-08-14
1134684566 Emily Majerus Physician Assistant 1000 1st Dr Nw, Austin, MN 55912-2941 2019-02-11
1154886992 Jennifer Ann Juers Nurse Practitioner 1000 1st Dr Nw, Austin, MN 55912-2941 2019-02-06
1528530821 Anna Altman Registered Nurse 1000 1st Dr Nw, Austin, MN 55912 2018-12-26
1861962045 Jennifer Rivers Family Medicine 1000 1st Dr Nw, Austin, MN 55912-2941 2018-11-29
1841771532 Francis Owusu Nurse Practitioner 1000 1st Dr Nw, Austin, MN 55912-2941 2018-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710538152 Reliable Medical Supply LLC Durable Medical Equipment & Medical Supplies 313 2nd Ave Ne, Austin, MN 55912 2019-09-26
1669029831 David Kuehn Specialist/Technologist 1508 Main St. N, Austin, MN 55912 2019-08-22
1841844396 Heather A Peterson Social Worker 101 21st Street Se, Austin, MN 55912 2019-08-01
1477058287 Gerard Academy Counselor 1101 28th St Ne, Austin, MN 55912 2018-03-26
1821518739 Steven Register Specialist/Technologist 1803 2nd Ave Sw, Austin, MN 55912 2017-06-21
1366849259 Kristen Ashley Templeton Dentist 800 1st Avenue Sw, Austin, MN 55912 2014-11-20
1336560333 Rem Woodvale, Inc. Cottonwood Intermediate Care Facility, Mentally Retarded 2311 9th Avenue Sw, Austin, MN 55912 2013-12-18
1780923458 Kurt Baumgartner Hearing Instrument Specialist 507 1 St Nw, Austin, MN 55912 2013-01-31
1396059242 Lorna Kay Siefke-harbor Psychologist 902 19th Ave Sw, Austin, MN 55912 2010-08-03
1972777068 Stanley Brent Stutzman Psychologist 301 12 Place Nw, Austin, MN 55912 2008-04-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174123111 Stephanie Rae Moench Physician Assistant 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 2020-10-28
1376140400 April L Thepsoumane Physician Assistant 4808 Hale Dr, Austin, TX 78749-3711 2020-10-01
1366050353 Katherine Elizabeth Mankus Physician Assistant 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 2020-07-16
1629695044 Brittany Ho Physician Assistant 12601 Scofield Farms Dr, Austin, TX 78727-4542 2020-07-01
1679197925 Malia Scott Physician Assistant 2217 Park Bend Dr, Austin, TX 78758-5365 2020-06-02
1659992451 Christopher Kent Brown Physician Assistant 2200 W 35th St Bldg 8, Austin, TX 78703-1222 2020-05-03
1982236550 Stephen Young Physician Assistant 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 2020-02-11
1528608908 Megan Paige Sutphin Physician Assistant 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 2020-01-13
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1619528569 Lauren Michelle Feierstein Physician Assistant 4505 Duval St Apt 115, Austin, TX 78751-3225 2019-09-23
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Competitor

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City AUSTIN
Zip Code 55912

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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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