KELLY R LINNIHAN (NPI# 1447640495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447640495 |
| Entity Type | Individual |
| Full Name | KELLY R LINNIHAN |
| Practice Address |
1050 Larpenteur Ave W Saint Paul MN 55113-6556 |
| Mailing Address |
2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 |
| Practice Telephone | 6514872831 |
| Practice Fax Number | 6514871705 |
| Mailing Telephone | 6517721572 |
| Mailing Fax Number | 6517721889 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11779 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1050 LARPENTEUR AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55113-6556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891759239 | Gloria M Garcia | Family Medicine | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2006-04-13 |
| 1720432461 | Samantha Min Min Ngaw | Family Medicine | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2016-04-19 |
| 1043642135 | St Paul Family Dentistry | Dentist | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2013-07-31 |
| 1427332758 | Todd Anthony Thayer | Dentist | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2011-10-05 |
| 1033437942 | Grete Feist Thomsen | Physician Assistant | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2010-05-17 |
| 1629258355 | Family Healthservices Minnesota, P.a. | Family Medicine | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2007-11-09 |
| 1215129390 | Joseph M Opack | Dentist | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2007-08-13 |
| 1780801894 | Minnhealth Family Physicians, P.a. | Family Medicine | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2007-04-19 |
| 1417098278 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2007-02-12 |
| 1871500546 | William M Wiencke | Family Medicine | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1679107841 | Kelsey Locken | Physician Assistant | 2285 University Ave W Unit 161, Saint Paul, MN 55114-1645 | 2020-02-26 |
| 1497395719 | Demitri Nichelle Gockel | Physician Assistant | 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 | 2020-01-14 |
| 1245870203 | Ashley Kay Warner | Physician Assistant | 640 Jackson St # 11102f, Saint Paul, MN 55101-2595 | 2020-01-07 |
| 1275171795 | Keith Fertey Moy | Physician Assistant | 594 Montrose Ln, Saint Paul, MN 55116-1158 | 2019-12-16 |
| 1609417757 | Mh 101, PC | Physician Assistant | 1999 Shepard Rd, Saint Paul, MN 55116-3210 | 2019-09-30 |
| 1760048946 | Amity Alice Carlson | Physician Assistant | 1600 University Ave W Ste 205, Saint Paul, MN 55104-3825 | 2019-05-14 |
| 1740747872 | Angela Marie Schlangen | Physician Assistant | 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 | 2019-02-25 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1649720533 | Jeffrey Charles Otis | Physician Assistant | 405 Nebraska Ave E, Saint Paul, MN 55130-3226 | 2016-10-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55113 |
Please comment or provide details below to improve the information on KELLY R LINNIHAN.
| 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.