KARISSA SORAYA SIMYAB (NPI# 1548815160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548815160 |
| Entity Type | Individual |
| Full Name | KARISSA SORAYA SIMYAB |
| Credential | PA |
| Practice Address |
800 E 28th St Ste H2100 Minneapolis MN 55407-3723 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6128633900 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
13087 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
800 E 28TH ST STE H2100 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-3723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984012 | Barry M Cabuay | Internal Medicine | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2006-03-08 |
| 1053935189 | Kaitelin Jensen | Nurse Practitioner | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2020-06-04 |
| 1710455084 | Caitlin Matson | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2018-11-05 |
| 1982185328 | Monica Ellen Stassi-fritz | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2018-08-23 |
| 1326490467 | Amelia Dewit | Registered Nurse | 800 E 28th St Ste H2100, Minneapolis, MN 55407 | 2016-07-12 |
| 1508109786 | Robert James Fraser | Internal Medicine | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2013-04-05 |
| 1730448416 | Anene Ukaigwe | Internal Medicine | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2012-05-15 |
| 1679707632 | Allina Health System | Internal Medicine | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2009-05-06 |
| 1114180353 | Ashley Ann Korbel | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2008-07-08 |
| 1225299845 | Manjunath Mizar Pai | Internal Medicine | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811164007 | Leah Anne Zupancich | Physician Assistant | 2545 Chicago Ave. S., Suite 106, Minneapolis, MN 55404 | 2008-05-15 |
| 1124123120 | Bonnie White Marsh | Physician Assistant | 1 Veterans Dr # 112, Minneapolis, MN 55417-2309 | 2006-09-14 |
| 1114990272 | Sangeetha Larsen | Physician Assistant | 1000 Nicollet Mall # 17-642, Minneapolis, MN 55403-2542 | 2006-02-09 |
| 1982185328 | Monica Ellen Stassi-fritz | Physician Assistant | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2018-08-23 |
| 1477060572 | David Wade Mcgehee | Physician Assistant | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-01-10 |
| 1851808828 | Julia Curry | Physician Assistant | 800 E 28th St, Minneapolis, MN 55407-3723 | 2017-12-29 |
| 1831643899 | Patrick James Halbach | Physician Assistant | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2016-08-08 |
| 1609229749 | Joseph Mark Kaisersatt | Physician Assistant | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2016-07-13 |
| 1831580901 | Jessica Knuppel | Physician Assistant | 913 E 26th St, Suite 600, Minneapolis, MN 55404-4515 | 2015-02-11 |
| 1750784013 | Mila Kabakova | Physician Assistant | 913 E 26th St, Suite #600, Minneapolis, MN 55404-4515 | 2014-10-01 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on KARISSA SORAYA SIMYAB.
| 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.