DR. MICHAEL THOMAS PADDOCK (NPI# 1457663601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457663601 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL THOMAS PADDOCK |
| Credential | D.O. |
| Practice Address |
640 Jackson Street Ms11102f St. Paul MN 55101-2502 |
| Mailing Address |
Po Box 1309 - 8170 33rd Ave S Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512543456 |
| Practice Fax Number | 6512545216 |
| Mailing Telephone | 6512543456 |
| Mailing Fax Number | 6512545216 |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 64249 | WI | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 108311 | MN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 036131957 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Stageline Rd, Hudson, WI 540167848 | 7155316000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417215203 | Michael Bryan Paddock | Physical Therapy Assistant | 92 Quapaw Trl, Jacksonville, AR 72076-8991 | 2012-04-30 |
| 1427608397 | Michael Paddock | Pharmacist | 6 Bochicchio Blvd, Covington Township, PA 18444-6691 | 2019-09-12 |
| Street Address |
640 JACKSON STREET MS11102F |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55101-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164082681 | Megan Maureen Elsenheimer | Student in an Organized Health Care Education/Training Program | 640 Jackson Street, St. Paul, MN 55101 | 2019-06-17 |
| 1346612587 | James Nelson | Physician Assistant | 640 Jackson Street, Ms 11102m, St. Paul, MN 55101-2502 | 2015-10-27 |
| 1255749826 | Danielle Arisa Johnson | Physician Assistant | 640 Jackson Street, St. Paul, MN 55101-2502 | 2014-07-28 |
| 1619383684 | Leah C Matheson | Physician Assistant | 640 Jackson Street, Mc 11109e, St. Paul, MN 55101-2502 | 2014-07-10 |
| 1891109989 | Stephani Ann Johnson | Physician Assistant | 640 Jackson Street, Ms11102f, St. Paul, MN 55101 | 2014-06-17 |
| 1285076331 | Olga T. Ahmann | Physician Assistant | 640 Jackson Street, St. Paul, MN 55101-2502 | 2013-07-17 |
| 1225380421 | Oana Dickinson | Internal Medicine | 640 Jackson Street, St. Paul, MN 55101-2502 | 2012-10-11 |
| 1558610873 | Caitlyn M. Squire | Social Worker | 640 Jackson Street, Mail Stop 11101g, St. Paul, MN 55101-2595 | 2012-08-31 |
| 1346500923 | Yonatan Platt | Internal Medicine | 640 Jackson Street, St. Paul, MN 55101-2502 | 2012-05-17 |
| 1649530163 | Daniel John Townsend | Internal Medicine | 640 Jackson Street, St. Paul, MN 55101-2502 | 2012-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275704900 | Leah Marsot Gapinski | Emergency Medicine | 1035 Orange Ave E, St. Paul, MN 55106 | 2008-03-20 |
| 1861469025 | Jennifer H Block | Emergency Medicine | 205 Wabasha St., Healthpartners St. Paul Urgent Care, St. Paul, MN 55107-1805 | 2006-03-07 |
| 1184910218 | Brian Kessen | Emergency Medicine | 333 North Smith Ave, St. Paul, MN 55102 | 2011-06-27 |
| 1992014682 | Jenikka Lee Soyring | Emergency Medicine | 333 N Smith Ave, St. Paul, MN 55102-2344 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1366968448 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 5507 Chateau Rd Nw, Rochester, MN 55901-0136 | 2017-08-21 |
| 1205366713 | St Francis Regional Medical Center | Emergency Medicine | 1451 Adams St S, Shakopee, MN 55379-2697 | 2017-06-16 |
| 1568991883 | Renzhong Ran | Emergency Medicine | 800 E. 28th Street Mr#11112, Minneapolis, MN 55407 | 2017-06-09 |
| 1164957619 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 2317 Bemidji Ave N, Bemidji, MN 56601-2316 | 2017-04-21 |
| 1053843581 | Joshua Anthony Bailey | Emergency Medicine | 800 E 28th St # 1112, Minneapolis, MN 55407-3723 | 2017-04-03 |
| 1841739240 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 501 W Central Entrance, Duluth, MN 55811-5447 | 2017-02-17 |
| 1003364720 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 1963 Robert St S, Suite 200, West St Paul, MN 55118-3942 | 2016-09-12 |
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1083076681 | Kendra Elm | Emergency Medicine | 800 E 28th St # Mr 11122, Minneapolis, MN 55407-3799 | 2016-03-23 |
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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.