MATTHEW SANOCKI (NPI# 1285150193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285150193 |
| Entity Type | Individual |
| Full Name | MATTHEW SANOCKI |
| Credential | PA-C |
| Practice Address |
2945 Hazelwood St Ste 100 Maplewood MN 55109-1242 |
| Mailing Address |
9238 W 67th Ave Arvada CO 80004-3014 |
| Practice Telephone | 6512327800 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | CO | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10555 E Dartmouth Ave, Aurora, CO 800142645 | 3039914651 |
| Street Address |
2945 HAZELWOOD ST STE 100 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689616716 | Healtheast Medical Research Institute | Durable Medical Equipment & Medical Supplies | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2006-06-12 |
| 1144718917 | Stephanie Aldrin | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2018-04-27 |
| 1649798463 | Benjamin Beuchler | Physician Assistant | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2017-08-31 |
| 1275066813 | Saleha Raajpoot | Family Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-11 |
| 1104359843 | Madeline Paul | Pediatrics | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2017-04-10 |
| 1730621467 | Christin Radtke | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-11-11 |
| 1992256382 | Kelly Jean Hedblad | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1241 | 2016-10-20 |
| 1396134763 | Kara Wheeler | Dietitian, Registered | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2015-01-22 |
| 1609288828 | Kahoua Caroline Lochungvu | Internal Medicine | 2945 Hazelwood St Ste 100, Maplewood, MN 55109 | 2014-05-22 |
| 1659707289 | Colleen Lynn Quesnell | Nurse Practitioner | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2013-09-13 |
| Find all providers in the same location | ||||
| 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 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1104254192 | Ashleigh Elizabeth Misson | Physician Assistant | 2480 White Bear Ave N Ste 104, Maplewood, MN 55109-4568 | 2013-10-29 |
| 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 |
| Find all providers in MAPLEWOOD | ||||
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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.