MH 101, PC (NPI# 1619529369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619529369 |
| Entity Type | Organization |
| Organization Name | MH 101, PC |
| Practice Address |
6801 Washington Ave S Ste 100 Edina MN 55439-1523 |
| Mailing Address |
Po Box 5 Winooski VT 05404-0005 |
| Practice Telephone | 8028570400 |
| Mailing Telephone | 8028570400 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | COLLEEN SCHAEFFEL (VP) |
| Authorized Official Telephone | 8028570400 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Starkey Wellness Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417757 | Mh 101, PC | Physician Assistant | 1999 Shepard Rd, Saint Paul, MN 55116-3210 | 2019-09-30 |
| 1669821484 | Mh 101, PC | Nurse Practitioner | 2341 Crossroads Blvd, C/o Cargill Employee Health Center, Albert Lea, MN 56007-4001 | 2016-06-13 |
| 1417346719 | Mh 101, PC | Physician Assistant | 340 Lake Hazeltine Dr, C/o Lake Region Employee Health Center, Chaska, MN 55318-1034 | 2015-01-10 |
| 1265773287 | Mh 101, PC | Physician Assistant | 6420 Zane Ave N, C/o Lake Region Employee Health Center, Brooklyn Park, MN 55429-4168 | 2013-03-15 |
| Street Address |
6801 WASHINGTON AVE S STE 100 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| 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 |
|---|---|---|---|---|
| 1033756168 | Chandler R Hutton | Physician Assistant | 6550 York Ave S Ste 112, Edina, MN 55435-2332 | 2019-12-09 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1346676319 | Catherine Anne Cecconi | Physician Assistant | 6545 France Ave S Ste 586, Edina, MN 55435 | 2013-09-22 |
| 1255619813 | Evan M Burgart | Physician Assistant | 6363 France Ave S Ste 400, Edina, MN 55435-2130 | 2011-08-01 |
| 1962737981 | Melissa Faye Hall | Physician Assistant | 6363 France Avenue South, Suite 400, Edina, MN 55435 | 2009-10-08 |
| 1588825145 | Bennett Ezra Goltz | Physician Assistant | 6363 France Ave S Ste 103, Edina, MN 55435 | 2008-06-17 |
| 1013105907 | Maisy Monica Sanneman | Physician Assistant | 6525 France Ave. S., Suite 200, Edina, MN 55435 | 2007-10-05 |
| 1699701672 | Sarah Teresa Bot | Physician Assistant | 6525 France Ave South, Suite 100, Edina, MN 55435-3624 | 2006-06-23 |
| 1336108224 | J Robert Noel IIi | Physician Assistant | Fairview Geriatric Services, 7505 Metro Blvd Suite 100, Edina, MN 55439 | 2006-03-21 |
| 1659345783 | Steven B Vandonselaar | Physician Assistant | 7400 France Ave S Ste 100, Edina, MN 55435-4738 | 2006-02-15 |
| Find all providers in EDINA | ||||
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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.