AMANDA LAATSCH (NPI# 1043760820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043760820 |
| Entity Type | Individual |
| Full Name | AMANDA LAATSCH |
| Practice Address |
1185 Town Centre Dr Ste 205 Eagan MN 55123-1370 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12870 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058619 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1185 TOWN CENTRE DR STE 205 |
| City | EAGAN |
| State | MN |
| Zip Code | 55123-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873377 | Craig A Solem | Internal Medicine | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2005-12-27 |
| 1003135765 | Kathryn Kempe O'morchoe | Physician Assistant | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2010-05-20 |
| 1548315302 | Mark A. Virtue | Internal Medicine | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828467 | Hilltop Family Chiropractic Center Pa | Chiropractor | 1121 Town Centre Drive Suite 202, Eagan, MN 55123 | 2018-01-08 |
| 1922452507 | Jacob Zimmerman | Counselor | 3450 O'leary Ln., Eagan, MN 55123 | 2016-04-20 |
| 1316320971 | K-squared Fitness, L.L.C. | Public Health or Welfare | 1100 Cliff Rd, Eagan, MN 55123 | 2015-07-01 |
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1700172350 | Mary Christine Mcnabney | Nurse Practitioner | 610 Opperman Drive, D4 Health Center, Your Wellbeing Health Center, Eagan, MN 55123 | 2011-06-22 |
| 1033353669 | Todd Borstad | Social Worker | 3450 O'leary Lane, Eagan, MN 55123 | 2009-04-27 |
| 1821025271 | Mngi Endoscopy LLC | Clinic/Center | 1185 Town Centre Drive, Eagan, MN 55123 | 2006-06-28 |
| 1780620120 | Cindy Eileen Wood | Audiologist | 3440 Oleary Lane, 240, Eagan, MN 55123 | 2006-06-22 |
| 1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
| 1891269155 | Elise Broderick Quam | Social Worker | 3450 Oleary Ln, Eagan, MN 55123 | 2019-01-18 |
| Find all providers in zip 55123 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445881 | Ella Lynn Trepashko | Physician Assistant | 2854 Highway 55 Ste 130, Eagan, MN 55121-1447 | 2020-04-13 |
| 1801391594 | Matveh Panya | Physician Assistant | 1440 Duckwood Dr, Eagan, MN 55122 | 2018-03-26 |
| 1124564240 | Nicholas Peter Wanner | Physician Assistant | 1885 Plaza Dr, Eagan, MN 55122-2979 | 2017-01-12 |
| 1013271378 | Jeffrey John Mohr | Physician Assistant | 1885 Plaza Dr, Eagan, MN 55122-2979 | 2012-07-01 |
| 1740517291 | Melisa Marie Schultz | Physician Assistant | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2009-11-04 |
| 1730369539 | Rebecca Bell Benson | Physician Assistant | 1885 Plaza Dr, Eagan, MN 55122-2612 | 2007-11-08 |
| 1710034194 | Edward John Hollinger Jr. | Physician Assistant | 1970 Rahncliff Ct, Eagan, MN 55122-3404 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
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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.