Marjorie L Van Der Hagen (NPI# 1063423366, PAC ID# 0446393300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063423366 |
| PAC ID by PECOS | 0446393300 |
| Professional Enrollment ID | I20100202000023 |
| Full Name | Marjorie L Van Der Hagen |
| Organization Legal Name | INFINITE HEALTH COLLABORATIVE PA |
| Address |
8290 University Neave Suite 200 Fridley MN 55432-1876 |
| Phone Number | 7637869543 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052225042 |
| Number of Group Practice Members | 408 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| 240214 | MAPLE GROVE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8290 University Neave, Suite 200, Fridley, MN 55432-1876 | 7637869543 | INFINITE HEALTH COLLABORATIVE PA |
| Organization Legal Name | INFINITE HEALTH COLLABORATIVE PA |
| Physicians | 406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Palmer | Physical Therapy | Infinite Health Collaborative Pa | 4100 Minnesota Dr, Edina, MN 55435-5417 |
| Scott J Cichos | Physical Therapy | Infinite Health Collaborative Pa | 3545 Hwy 61 N, Vadnais Heights, MN 55110-5223 |
| Chee N Vang | Physical Therapy | Infinite Health Collaborative Pa | 2700 Vikings Cir, Eagan, MN 55121-1002 |
| Roger L Burtraw | Physical Therapy | Infinite Health Collaborative Pa | 4570 Churchill St, Suite 300, Shoreview, MN 55126-2274 |
| Ashley M Rundle | Physical Therapy | Infinite Health Collaborative Pa | 3111 124th Nw Ave, Suite 200, Coon Rapids, MN 55433-4572 |
| Nathan J Dumm | Physician Assistant | Infinite Health Collaborative Pa | 4040 Radio Dr, Woodbury, MN 55129-3237 |
| Nathaniel L Peterson | Physical Therapy | Infinite Health Collaborative Pa | 12982 Valley View Rd, Eden Prairie, MN 55344-3657 |
| Gregory M Deyak | Physical Therapy | Infinite Health Collaborative Pa | 5805 Neal Ave N, Oak Park Heights, MN 55082-2177 |
| Kathryn M Samuelson | Physician Assistant | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Brianna C Ludtke | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Street Address |
8290 UNIVERSITY NEAVE SUITE 200 |
| City | FRIDLEY |
| State | MN |
| Zip | 55432-1876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Hromadka | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Kevin J Murphy | Occupational Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| David A Willey | Family Medicine | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Brian P Bjerke | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Kelly M Borreson | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Joshua J Bennington | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Kayvon S Riggi | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Maryclare K Mccarthy | Hand Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Joseph T Teynor | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Matthew F Omahoney | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Blenker | Optometry | 8450 University Ave Ne, Fridley, MN 55432-1164 | |
| Brianna C Ludtke | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Matthew S Butterfield | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Kevin C Reichart | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Tracy E Bunnell | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Karen E Edmonson | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Jamie N Kain | Physician Assistant | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Braidy S Solie | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Mark A Urban | Hand Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Christie S Heikes | Orthopedic Surgery | Infinite Health Collaborative Pa | 8290 University Neave, Suite 200, Fridley, MN 55432-1876 |
| Find all physicians in zip 55432 | |||
| City | FRIDLEY |
| Zip Code | 55432 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FRIDLEY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marjorie L Van Der Hagen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.