MARTHA MACDOUGAL MAGNUSON (NPI# 1316046931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316046931 |
| Entity Type | Individual |
| Full Name | MARTHA MACDOUGAL MAGNUSON |
| Other Name | MARTH R MACDOUGAL |
| Credential | PA-C |
| Practice Address |
3580 Arcade St Vadnais Heights MN 55127 |
| Mailing Address |
913 E 26th St Ste 600 Minneapolis MN 55404-4515 |
| Practice Telephone | 6519685770 |
| Practice Fax Number | 6519685775 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10433 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | TRICARE | 1316046931 | 01 |
| ME | GREATWEST | 010453642 | 01 |
| ME | 432035899 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3580 Arcade St, Vadnais Heights, MN 551277135 | 6519685770 | 6519685775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073000394 | Martha Magnuson | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2018-04-23 |
| Street Address |
3580 ARCADE ST |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip Code | 55127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573566 | Kirk Leslie Scofield | Family Medicine | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2006-01-25 |
| 1679069751 | Caitlin Dewitt | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2018-07-02 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1912420704 | William R Turnquist | Specialist/Technologist, Other | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-24 |
| 1174045884 | Trista Lee Norris | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-07-13 |
| 1255860268 | Jessie Lauren Marolt | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-06-05 |
| 1710410246 | Samuel Rauchwarter | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-04-11 |
| 1457701286 | Lori A Fredericks | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2016-06-13 |
| 1730536665 | Rachel A Hedden | Physical Therapist | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2016-05-20 |
| 1144696980 | Rachel M Silbert | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| 1801275672 | Anne M Mcdonald | Social Worker | 4444 Centerville Road, Suite 235, White Bear Lake, MN 55127 | 2015-05-26 |
| Find all providers in zip 55127 | ||||
| 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 |
|---|---|---|---|---|
| 1346689460 | Colleen E Woodington | Physician Assistant | 3555 Willow Lake Blvd Ste 140, Vadnais Heights, MN 55110-4462 | 2013-06-21 |
| 1942227764 | Dawn M Debus | Physician Assistant | 1155 E County Road, Suite 100, Vadnais Heights, MN 55110 | 2006-07-16 |
| 1407892904 | Kristin M Hansen | Physician Assistant | 3550 Labore Rd Ste 7, Vadnais Heights, MN 55110-5113 | 2006-06-22 |
| 1811506470 | Kaitlyn Marie Rolando | Physician Assistant | 3545 Highway 61 N, Vadnais Heights, MN 55110-5223 | 2020-07-29 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1255860268 | Jessie Lauren Marolt | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2017-06-05 |
| 1881989721 | Abby Katrina Bernstein | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2011-06-17 |
| 1235420670 | Nicholas Cameron Bjore | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2011-04-20 |
| 1851623136 | Christopher Ryan Larson | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2010-02-11 |
| 1811143878 | Jacqueline A St. John | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127-7135 | 2008-08-11 |
| Find all providers in VADNAIS HEIGHTS | ||||
| City | VADNAIS HEIGHTS |
| Zip Code | 55127 |
Please comment or provide details below to improve the information on MARTHA MACDOUGAL MAGNUSON.
| 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.