GREGORY ALLEN


Address: 5775 Wayzata Blvd Ste 140, St Louis Park, MN 55416-2660
Phone: 9527384498

GREGORY ALLEN (NPI# 1972037059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers GREGORY ALLEN

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

Office Location

Street Address 5775 WAYZATA BLVD STE 140
City ST LOUIS PARK
State MN
Zip Code 55416-2660

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City ST LOUIS PARK
Zip Code 55416

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Dataset Information

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.

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