SEAN SULLIVAN DWYER (NPI# 1073022372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073022372 |
| Entity Type | Individual |
| Full Name | SEAN SULLIVAN DWYER |
| Practice Address |
4600 Lake Road Ave Ste 301 Robbinsdale MN 55422-1845 |
| Practice Telephone | 7635887099 |
| Practice Fax Number | 7635222222 |
| Mailing Telephone | 7635887099 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 12601 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285577 | Sean Dwyer | Physical Therapist | 1931 Black Rock Tpke, Fairfield, CT 06825-3506 | 2019-09-27 |
| 1659494540 | Sean Francis Dwyer | Social Worker | 1033 Turnpike Ave, Clearfield, PA 16830-3061 | 2007-04-08 |
| 1346248044 | Sean Michael Dwyer | Internal Medicine | 5454 Wisconsin Ave, Suite 925, Chevy Chase, MD 20815-6901 | 2005-07-07 |
| Street Address |
4600 LAKE ROAD AVE STE 301 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730145764 | Erving Wayne London | Nurse Practitioner | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2006-04-26 |
| 1447711015 | Medical Consultants Clinic Pa | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2019-03-27 |
| 1306254206 | Emily Anderson | Clinical Nurse Specialist | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2014-07-24 |
| 1275881971 | Dodson Pain Consultants, P.a. Corp | Clinic/Center | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2012-08-28 |
| 1275850927 | Eric Ryan Van Hecke | Physician Assistant | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2010-04-21 |
| 1003987876 | Erick James Lundgren | Chiropractor | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422 | 2006-11-13 |
| 1649201161 | Tammie Jean Porras | Nurse Practitioner | 4600 Lake Road Ave Ste 301, Robbinsdale, MN 55422-1845 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| 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 |
|---|---|---|---|---|
| 1598746513 | Jennifer A Flaherty | Physician Assistant | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2005-11-08 |
| 1487284501 | Max Napolitano | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-01-16 |
| 1124682851 | Mary Elizabeth Neill | Physician Assistant | 3366 Oakdale Ave N Ste 103, Robbinsdale, MN 55422-2961 | 2019-04-29 |
| 1992278592 | Peter D Seebart | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-01-07 |
| 1740758176 | Ana Rae Dauschmidt | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2018-11-03 |
| 1144704867 | Tyler John Back | Physician Assistant | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2018-09-19 |
| 1831680313 | Anna Marie Klopfenstein | Physician Assistant | 3366 Oakdale Ave N Ste 103, Robbinsdale, MN 55422-2961 | 2018-05-21 |
| 1609380872 | Kirsten Ann Boland | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-11-27 |
| 1588185433 | Zachary John Zabadal | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2017-06-30 |
| 1043731151 | Jennifer Rose Page | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-06-28 |
| Find all providers in ROBBINSDALE | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on SEAN SULLIVAN DWYER.
| 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.