ASHLEY HARRISON KONSTANTINIDES (NPI# 1649600438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649600438 |
| Entity Type | Individual |
| Full Name | ASHLEY HARRISON KONSTANTINIDES |
| Credential | PA-C |
| Practice Address |
4040 Coon Rapids Blvd Nw Suite 120 Minneapolis MN 55433-4567 |
| Practice Telephone | 9202091698 |
| Mailing Telephone | 9202091698 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2016-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2004 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4040 COON RAPIDS BLVD NW SUITE 120 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55433-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189966 | Zaur Mirzoyev | Internal Medicine | 4040 Coon Rapids Blvd Nw, Minneapolis, MN 55433-4567 | 2006-01-17 |
| 1568913622 | Jeffrey Otto | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2016-10-24 |
| 1366485724 | Elizabeth A Hoffman | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1568405488 | Paul Finstad | Physician Assistant | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1912940339 | Susan D Roseberg | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1376586792 | Lisa Bordeaux | Nurse Practitioner | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-14 |
| 1437192598 | Jeffrey Chambers | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2006-06-14 |
| 1184667248 | Joseph Lin | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-4567 | 2006-06-14 |
| 1073556593 | Randall P Stark | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-13 |
| 1144263674 | Brian J Anderson | Internal Medicine | 4040 Coon Rapids Blvd Nw, Suite 120, Minneapolis, MN 55433-2522 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1588998744 | Regional Physician Services of Minnesota PC | Physician Assistant | 100 S 5th St Fl 19, Minneapolis, MN 55402-1210 | 2009-09-21 |
| 1295983203 | Millicent Julia Marwa | Physician Assistant | 2711 E Franklin Avenue, Minneapolis, MN 55406 | 2008-09-03 |
| 1134389646 | Jesse G Powell | Physician Assistant | 701 Park Ave Mail Code:01, Minneapolis, MN 55415-1829 | 2008-06-10 |
| 1003013137 | Meghan Elizabeth Brant | Physician Assistant | 2603 39th Ave Ne Ste D202, Minneapolis, MN 55421-4372 | 2007-07-02 |
| 1194880591 | Katherine J Huntington | Physician Assistant | 3017 Bloomington Ave, Minneapolis, MN 55407-1715 | 2006-12-26 |
| 1558323352 | Sarah Anne Bolstad | Physician Assistant | 920 E 28th St Ste 700, Minneapolis, MN 55407-1163 | 2006-04-05 |
| 1043281678 | Mark Winkler | Physician Assistant | 715 S 8th St, Minneapolis, MN 55404 | 2006-01-31 |
| 1679047310 | Caitlin Ann Hiniker | Physician Assistant | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-01-16 |
| 1871094086 | David Masterman | Physician Assistant | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-02-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on ASHLEY HARRISON KONSTANTINIDES.
| 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.