ASHLEIGH ELIZABETH MISSON


Address: 2480 White Bear Ave N Ste 104, Maplewood, MN 55109-4568
Phone: 6124443247

ASHLEIGH ELIZABETH MISSON (NPI# 1104254192) 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) 1104254192
Entity Type Individual
Full Name ASHLEIGH ELIZABETH MISSON
Other Name ASHLEIGH ELIZABETH HENNING
Credential PA-C
Practice Address 2480 White Bear Ave N Ste 104
Maplewood
MN 55109-4568
Mailing Address 2480 White Bear Ave
Suite 104
Maplewood
MN 55109
Practice Telephone 6124443247
Practice Fax Number 6518889247
Enumeration Date 2013-10-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 11494 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1104254192 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8325 City Centre Dr Ste 140, Woodbury, MN 551253323 6124443247 6128889247
1880 Livingston Ave Ste 102, Saint Paul, MN 551183426 6124443247 6112888924

Office Location

Street Address 2480 WHITE BEAR AVE N STE 104
City MAPLEWOOD
State MN
Zip Code 55109-4568

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NPI Name Taxonomy Address Enumeration
1366063828 Jodi May Begordis Registered Nurse 2586 7th Ave East, Suite 302, North St Paul, MN 55109 2020-05-06
1467917146 Alejandro Diez Freire Social Worker 2468 Germain St, Maplewood, MN 55109 2019-02-06
1679099667 Rochelle Marie Clarke Registered Nurse 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 2017-08-21
1497298210 Salams Care Residential, LLC Home Health 2240 Ide Ct, Maplewood, MN 55109 2016-11-28
1093199630 Garry Allen Psychologist 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 2015-07-14
1700264751 Matthew Seng Thao Student in an Organized Health Care Education/Training Program 1470 Gervais Ave, Maplewood, MN 55109 2015-05-11
1326458340 Chong Chang Counselor 1705 Cope Ave E Ste I, Maplewood, MN 55109 2014-04-29
1619396488 Leah Anne Downey Occupational Therapist 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 2014-04-09
1356765440 Group Health Plan, Inc Clinic/Center 2520 12th Ave E, North St Paul, MN 55109 2014-02-10
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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
1700410792 Zoua Xiong Physician Assistant 2115 County Road D E Ste C100, Maplewood, MN 55109-5354 2020-02-27
1316352578 Kristen Marie Chuba Physician Assistant 1856 Beam Ave Ste 200, Maplewood, MN 55109-1162 2014-06-26
1700111911 Marit Nicole Meland Physician Assistant 1725 Legacy Pkwy E, Suite 100, Maplewood, MN 55109-5433 2009-10-05
1518936517 Heather J Collins Physician Assistant 1600 St. Johns Blvd, Ste 101, Maplewood, MN 55109-1190 2006-03-14
1073110250 Megan Lee Washek Physician Assistant 1997 Sloan Pl Ste 17, Maplewood, MN 55117-2051 2020-10-01
1982201174 Dane Jeffrey Rasmussen Physician Assistant 1997 Sloan Pl Ste 17, Maplewood, MN 55117-2051 2020-10-01
1568077063 Surabi Janardhan Physician Assistant 2040 Millburn Ave Ste 104, Maplewood, NJ 07040-3716 2020-09-10
1417566498 Matthew Parmar Physician Assistant 264 Boyden Ave, Maplewood, NJ 07040-3070 2020-07-27
1972075406 Baylee Nahan Physician Assistant 1575 Beam Ave, Maplewood, MN 55109-1126 2018-12-21
1235648114 Shira Ashear Physician Assistant 1973 Springfield Ave, Maplewood, NJ 07040-3435 2017-09-24
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Competitor

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City MAPLEWOOD
Zip Code 55109

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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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