MATVEH PANYA (NPI# 1801391594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801391594 |
| Entity Type | Individual |
| Full Name | MATVEH PANYA |
| Other Name | MATVEH CHERNYAEV |
| Credential | PA-C |
| Practice Address |
1440 Duckwood Dr Eagan MN 55122 |
| Mailing Address |
1440 Duckwood Dr Eagan MN 55122-1451 |
| Practice Telephone | 6124357380 |
| Mailing Telephone | 6124357380 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12684 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2414 E 117th St, Burnsville, MN 553371269 | 8779157243 |
| Street Address |
1440 DUCKWOOD DR |
| City | EAGAN |
| State | MN |
| Zip Code | 55122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376501130 | Karl R Parens | Internal Medicine | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2006-05-02 |
| 1255964458 | Amy Eileen Anderson | Nurse Practitioner | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2020-02-16 |
| 1164089447 | Sage Prairie Laboratory | Specialist/Technologist, Other | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2019-05-22 |
| 1144774456 | Braidy Scott Solie | Physical Therapist | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2016-08-04 |
| 1205289899 | Jonathan H Schoenecker | Physical Therapist | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2016-07-19 |
| 1891171070 | Heidi Le Andrews | Pharmacist | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2015-08-10 |
| 1679977607 | Jenna Brandt | Physical Therapist | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2014-10-20 |
| 1508275629 | Amy Herbranson | Pharmacist | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2014-08-04 |
| 1073870812 | Christian Antony Dawson | Physical Therapist | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2012-04-18 |
| 1184916280 | Sarah Mcintire | Internal Medicine | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2011-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445881 | Ella Lynn Trepashko | Physician Assistant | 2854 Highway 55 Ste 130, Eagan, MN 55121-1447 | 2020-04-13 |
| 1124564240 | Nicholas Peter Wanner | Physician Assistant | 1885 Plaza Dr, Eagan, MN 55122-2979 | 2017-01-12 |
| 1043760820 | Amanda Laatsch | Physician Assistant | 1185 Town Centre Dr Ste 205, Eagan, MN 55123-1370 | 2016-10-05 |
| 1013271378 | Jeffrey John Mohr | Physician Assistant | 1885 Plaza Dr, Eagan, MN 55122-2979 | 2012-07-01 |
| 1740517291 | Melisa Marie Schultz | Physician Assistant | 1440 Duckwood Dr, Eagan, MN 55122-1451 | 2009-11-04 |
| 1730369539 | Rebecca Bell Benson | Physician Assistant | 1885 Plaza Dr, Eagan, MN 55122-2612 | 2007-11-08 |
| 1710034194 | Edward John Hollinger Jr. | Physician Assistant | 1970 Rahncliff Ct, Eagan, MN 55122-3404 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
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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.