MATT KLEVEN (NPI# 1457991804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457991804 |
| Entity Type | Individual |
| Full Name | MATT KLEVEN |
| Credential | PA-C |
| Practice Address |
4212 Grand Ave Duluth MN 55807-2737 |
| Mailing Address |
9307 Woodridge Cir Savage MN 55378-3153 |
| Practice Telephone | 2187863500 |
| Mailing Telephone | 9524543721 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 13292 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4212 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205882594 | Adam Charles Swank | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2006-05-26 |
| 1134743586 | Erika K Ehlers | Registered Nurse | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-06-02 |
| 1588204044 | Matthew G Schull | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2020-01-13 |
| 1124675566 | Amos Restad | Nurse Practitioner | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-08-21 |
| 1164089702 | Sarah M Jackson | Physical Therapist | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-05-20 |
| 1023578515 | Megan Elizabeth Markes | Physician Assistant | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-03-21 |
| 1134685035 | Anthony C Guidone | Nurse Practitioner | 4212 Grand Ave, Duluth, MN 55807-2737 | 2019-02-15 |
| 1679051791 | Brianna N Buske | Physical Therapist | 4212 Grand Ave, Duluth, MN 55807-2737 | 2018-07-31 |
| 1174075246 | Lucette Vankessel | Nurse Practitioner | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2016-10-25 |
| 1558721423 | Eric Harold Godfrey | Physical Therapist | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807-2737 | 2016-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1588898829 | Angela Sue Rosas | Registered Nurse | 618 1/2 N 56th Ave W, Duluth, MN 55807-1325 | 2009-05-14 |
| Find all providers in zip 55807 | ||||
| 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 |
|---|---|---|---|---|
| 1699396622 | Sarah Cheeney | Physician Assistant | 2803 E 8th St, Duluth, MN 55812-1518 | 2020-04-30 |
| 1144841552 | Jake L Mcgraw | Physician Assistant | 2006 N 51st Ave E, Duluth, MN 55804-1251 | 2020-04-27 |
| 1053931451 | Maggie Ferguson | Physician Assistant | 4219 Mcculloch St, Duluth, MN 55804-1934 | 2020-04-26 |
| 1174143093 | Melissa Dybvig | Physician Assistant | 825 N 43rd Ave E, Duluth, MN 55804-1939 | 2020-04-21 |
| 1033667266 | Wossen Adinew Asfaw | Physician Assistant | 3575 Koger Blvd Ste 116, Duluth, GA 30096-7559 | 2016-09-16 |
| 1629457981 | David John Willard | Physician Assistant | 4245 Pleasant Hill Rd, Duluth, GA 30096-6332 | 2015-05-20 |
| 1992065973 | Esther Maria Laucirica | Physician Assistant | 2159 Wynnton Point, Duluth, GA 30097 | 2012-05-23 |
| 1033419155 | Danielle Jackson | Physician Assistant | 1845 Satellite Blvd Nw, Duluth, GA 30097-5256 | 2010-10-22 |
| 1811202534 | Sharon Alston | Physician Assistant | 1580 Boggs Rd, 700, Duluth, GA 30096-1229 | 2010-08-18 |
| 1942496112 | Caroline A Woods | Physician Assistant | 32 E 1st St, Womens Health Ctr, Duluth, MN 55802 | 2007-09-20 |
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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.