EILEEN JOHANNA HAEG (NPI# 1841296910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841296910 |
| Entity Type | Individual |
| Full Name | EILEEN JOHANNA HAEG |
| Credential | PA-C |
| Practice Address |
112 Abbey Rd Collegeville MN 56321-7777 |
| Practice Telephone | 3202633124 |
| Practice Fax Number | 3203633124 |
| Mailing Telephone | 3202633142 |
| Mailing Fax Number | 3203633124 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MN9262 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0115114 | 01 |
| MN | BCBS PROVIDER NUMBER | 83A20HA | 01 |
| MN | 7926656100 | 05 | |
| MN | PREFERRED ONE | 989631015831 | 01 |
| MN | HEALTH PARTNERS | HP26988 | 01 |
| Street Address |
112 ABBEY RD |
| City | COLLEGEVILLE |
| State | MN |
| Zip Code | 56321-7777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226226 | Order of St. Benedict | Clinic/Center | 112 Abbey Rd, Collegeville, MN 56321-7777 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1487048351 | Justin Michael Rost | Specialist/Technologist | 2850 Abbey Plaza, Collegeville, MN 56321 | 2015-03-27 |
| 1467855270 | Michelle Stemper | Specialist/Technologist | 2585 Abbey Rd, Warner Palaestra, Collegeville, MN 56321 | 2014-10-07 |
| 1417350406 | Holly Nichole Remmenga | Specialist/Technologist | 2585 Abbey Road, Collegeville, MN 56321 | 2014-10-03 |
| 1538102520 | Gayle Christine Leen | Physician Assistant | Centracare Clinic St John's, 2850 Abbey Plaza Hlthc 109, Collegeville, MN 56321 | 2006-06-14 |
| 1770946584 | Samantha Bethany Taylor | Specialist/Technologist | 2585 Abbey Road, Collegeville, MN 56321 | 2016-03-30 |
| 1942578620 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 31802 County Road 159, Collegeville, MN 56321-7177 | 2011-12-08 |
| 1013970003 | Scott Robert Bierscheid | Specialist/Technologist | Saint John's University, Box 7277, Collegeville, MN 56321-7277 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879133 | Natalia Snyder | Physician Assistant | 555 Second Ave Ste C-300, Collegeville, PA 19426-3637 | 2020-07-29 |
| 1427666726 | Chu Chian Chong | Psychologist | 510 Brighton Rd, Collegeville, PA 19426-1756 | 2020-07-22 |
| 1013534734 | Gentle Hands Total Home Care Services LLC | Home Health | 972 Dogwood Ln, Collegeville, PA 19426-4125 | 2020-06-29 |
| 1639706906 | Anita Ross | Occupational Therapist | 11 Leatherwood Dr, Collegeville, PA 19426-3903 | 2020-03-25 |
| 1033743992 | The Dental Spot, LLC | Clinic/Center | 222 E Main St # 1c, Collegeville, PA 19426-2650 | 2020-02-28 |
| 1306479639 | Erin E Perveiler | Social Worker | 555 Second Ave Bldg B3, Collegeville, PA 19426-3600 | 2020-02-14 |
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1558904813 | Joseph Richard Gagnon Jr. | Registered Nurse | 3774 Ridge Pike Rear 2, Collegeville, PA 19426-3153 | 2019-10-18 |
| 1588214555 | Hope Frances Nester | Counselor | 4039 Steeplechase Dr, Collegeville, PA 19426-1266 | 2019-09-12 |
| 1114573102 | Melissa Anne Baldrige | Registered Nurse | 409 Second Ave Ste 303, Collegeville, PA 19426-3662 | 2019-08-14 |
| Find all providers in COLLEGEVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1548879133 | Natalia Snyder | Physician Assistant | 555 Second Ave Ste C-300, Collegeville, PA 19426-3637 | 2020-07-29 |
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1538102520 | Gayle Christine Leen | Physician Assistant | Centracare Clinic St John's, 2850 Abbey Plaza Hlthc 109, Collegeville, MN 56321 | 2006-06-14 |
| 1194790816 | Jeralyn Gambone Romano | Physician Assistant | 3839 Kratz Rd, Collegeville, PA 19426-1030 | 2006-02-17 |
| 1740490663 | Laura Lee Blechner | Physician Assistant | 78 2nd Ave, Suite 1a, Collegeville, PA 19426-3646 | 2007-05-22 |
| 1225243777 | Amy E Baker | Physician Assistant | 555 Second Avenue, Suite D201, Collegeville, PA 19426 | 2007-05-10 |
| 1811960305 | Thomas A Ruth | Physician Assistant | 555 2nd Ave, Suite 300, Collegeville, PA 19426-3600 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGEVILLE |
| Zip Code | 56321 |
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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.