ASHLEY RENEE AYDT (NPI# 1295288660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295288660 |
Entity Type | Individual |
Full Name | ASHLEY RENEE AYDT |
Credential | PA-C |
Practice Address |
15700 37th Ave N Ste 150 Plymouth MN 55446 |
Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
Practice Telephone | 6519685201 |
Mailing Telephone | 6519685201 |
Enumeration Date | 2016-08-02 |
Last Update Date | 2019-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | MN | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
250 Thompson St, Saint Paul, MN 551022370 | 6512922000 | |
4801 W 81st St Ste 108, Bloomington, MN 554371111 | 9528379700 | 9528379701 |
9055 Springbrook Dr Nw, Coon Rapids, MN 554335841 | 7637809155 |
Street Address |
15700 37TH AVE N STE 150 |
City | PLYMOUTH |
State | MN |
Zip Code | 55446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
1992330401 | Chelsie Rachelle Richards | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2020-03-04 |
1548821622 | Ryan Heisler | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2019-06-27 |
1932626025 | Cynthia C Konrath | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2017-08-29 |
1447600283 | Brendan Murphy | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-06-13 |
1053779215 | Summit Orthopedics, Ltd | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-02-03 |
1386012466 | Britta K Rosenow | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2015-09-08 |
1548650278 | Johnathan R Furzland | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2015-02-03 |
1225437965 | Allison K Buth | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2014-08-19 |
1396158309 | Staci A Baker | Nurse Practitioner | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2014-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
Find all providers in zip 55446 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
1528544772 | Michaela Jean Butler | Physician Assistant | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-07-11 |
1700385218 | Christina Marie Jensen | Physician Assistant | 15700 37th Ave N Ste 210, Plymouth, MN 55446-3662 | 2018-02-09 |
1932626025 | Cynthia C Konrath | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2017-08-29 |
1447600283 | Brendan Murphy | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2016-06-13 |
1760776793 | Catherine K Robinson | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2011-06-07 |
1003057118 | Grayson W Blomberg | Physician Assistant | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2009-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
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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.