Kathryn M Samuelson (NPI# 1104277318, PAC ID# 1355635053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104277318 |
| PAC ID by PECOS | 1355635053 |
| Professional Enrollment ID | I20160803000904 |
| Full Name | Kathryn M Samuelson |
| Organization Legal Name | INFINITE HEALTH COLLABORATIVE PA |
| Address |
8540 Quaday Neave Otsego MN 55330-6522 |
| Phone Number | 7634410298 |
| Gender | F |
| Graduation Year | 2016 |
| 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 |
|---|---|
| 240115 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8290 University Neave, Suite 200, Fridley, MN 55432-1876 | 7637869543 | INFINITE HEALTH COLLABORATIVE PA |
| 8540 Quaday Neave, Otsego, MN 55330-6522 | 7634410298 | 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 |
| Brianna C Ludtke | Physical Therapy | Infinite Health Collaborative Pa | 8290 University Ave Ne, Suite 100, Fridley, MN 55432-1851 |
| Jenna E Walker | Occupational Therapy | Infinite Health Collaborative Pa | 4695 Shoreline Dr, Spring Park, MN 55384-9715 |
| Street Address |
8540 QUADAY NEAVE |
| City | OTSEGO |
| State | MN |
| Zip | 55330-6522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luann K Lerud | Physical Therapy | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Kurt D Anderson | Orthopedic Surgery | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Jason A Barry | Orthopedic Surgery | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| David J Gerlach | Hand Surgery | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Zachary P Arntson | Sports Medicine | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Eric G Hanson | Physical Therapy | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| David R Edwards | Orthopedic Surgery | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Chad L Swearingen | Physician Assistant | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Kristin M Anderson | Occupational Therapy | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Megan L Nelson | Physical Therapy | Infinite Health Collaborative Pa | 8540 Quaday Neave, Otsego, MN 55330-6522 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy A Lundgren | Physician Assistant | Fairview Express Care | 19425 Evans St Nw, Elk River, MN 55330-1074 |
| Daniel G Moore | Chiropractic | Bodywise Chiropractic Center | 19260 Evans St Nw, Elk River, MN 55330-1076 |
| Christopher J Slice | Chiropractic | Bodywise Chiropractic Center | 19260 Evans St Nw, Elk River, MN 55330-1076 |
| Sarah H Bolcer | Podiatry | 19230 Evans St Nw, Suite 109, Elk River, MN 55330-1079 | |
| Megan J Schoeberl | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Elizabeth J Mclean | Nurse Practitioner | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Lori J Marx | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Kelly M Vevea | Nurse Practitioner | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Joshua D Miller | Physician Assistant | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Scott E Runde | Podiatry | Fairview Health Services | 290 Main St Nw, Suite 100, Elk River, MN 55330-1251 |
| Find all physicians in zip 55330 | |||
| City | OTSEGO |
| Zip Code | 55330 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OTSEGO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kathryn M Samuelson.
| 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.