GREGORY ALLEN (NPI# 1972037059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972037059 |
Entity Type | Individual |
Full Name | GREGORY ALLEN |
Credential | PA-C |
Practice Address |
5775 Wayzata Blvd Ste 140 St Louis Park MN 55416-2660 |
Mailing Address |
9676 Geisler Rd Eden Prairie MN 55347-3562 |
Practice Telephone | 9527384498 |
Mailing Telephone | 6127035541 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679841795 | Gregory Allen | Marriage & Family Therapist | 336 Tejon Pl, Palos Verdes Estates, CA 90274-1204 | 2011-12-03 |
1699959726 | Gregory Allen | Dentist | 255 S.w Main Blvd., Lake City, FL 32025 | 2007-12-26 |
1982743753 | Gregory Allen | Counselor | 527 Crocker St, Los Angeles, CA 90013-2116 | 2007-02-06 |
1669433538 | Gregory Charles Allen | Anesthesiology | 3435 Martin Way E Ste G, Olympia, WA 98506-5071 | 2006-03-31 |
1952380925 | Gregory S Allen | Family Medicine | 7233 E Baseline Rd Ste 126, Mesa, AZ 85209-5007 | 2006-01-10 |
1952398356 | Gregory John Allen | Family Medicine | 105 E Oak St, Ponchatoula, LA 70454-2619 | 2005-09-30 |
1376986331 | Gregory Maness Allen | Internal Medicine | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-04-09 |
1922275254 | Gregory Philip Allen II | Dentist | 3535 Lebon Dr, Apt 3310, San Diego, CA 92122-4593 | 2008-05-15 |
1619198603 | Gregory Allen | Psychiatry & Neurology | 119 Kercheval Ave, Suite 2, Grosse Pointe Farms, MI 48236-3696 | 2007-05-01 |
1760530026 | Gregory J. Allen | Family Medicine | 125 16th Ave E, Csb-4, Seattle, WA 98112-5211 | 2007-01-05 |
Street Address |
5775 WAYZATA BLVD STE 140 |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55416-2660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
Find all providers in zip 55416 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699254490 | Lisa Ruff | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2018-08-13 |
1386184844 | Melissa Shelendich | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2017-03-03 |
1124578620 | Sarah Savengseuksa | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2016-10-07 |
1780979104 | Brady Duane Baartman | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2011-06-14 |
1023168432 | Lucia F Pierson | Physician Assistant | 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 | 2007-01-11 |
1730166729 | James N Cavallaro | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-12-29 |
1982680690 | Angela Woyno | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-15 |
1144205220 | Jeremy Lane Jr. | Physician Assistant | 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 | 2005-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194120204 | Nathan C Clapper | Physician Assistant | 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 | 2014-10-31 |
1003180555 | Elizabeth K Saterenzoller | Physician Assistant | 1015 Marsh Street, Mankato, MN 56002-8673 | 2012-03-01 |
1477824472 | Andrea Jo Pitzl | Physician Assistant | 3208 36th Ave Ne, St Anthony, MN 55418-1713 | 2012-01-23 |
1447560693 | Jeanine Marie Edstrom | Physician Assistant | 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 | 2010-10-20 |
1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
1194042390 | Gerald Frederick Anderson | Physician Assistant | 4060 Haines Rd, #104, Duluth, MN 55811-1746 | 2010-04-27 |
1558683904 | Oswaldo Serge | Physician Assistant | 4036 3rd St Nw, Rochester, MN 55901-7564 | 2010-02-25 |
1417288945 | Amanda Kay Johnson | Physician Assistant | 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 | 2010-01-22 |
1790922755 | Jenelle Cecilia Rock | Physician Assistant | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 | 2009-01-13 |
1174775514 | Nathan J Nistler | Physician Assistant | 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 | 2008-10-16 |
Find all providers with the same taxonomy |
City | ST LOUIS PARK |
Zip Code | 55416 |
Please comment or provide details below to improve the information on GREGORY ALLEN.
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.