MISS CATHERINE KOPISCHKE


Address: 295 Phalen Blvd, Saint Paul, MN 55130-2400
Phone: 6514956200

MISS CATHERINE KOPISCHKE (NPI# 1972720134) 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) 1972720134
Entity Type Individual
Full Name MISS CATHERINE KOPISCHKE
Credential PA-C
Practice Address 295 Phalen Blvd
Saint Paul
MN 55130-2400
Mailing Address 7300 147th St W Ste 204
Apple Valley
MN 55124-7850
Practice Telephone 6514956200
Practice Fax Number 6514956201
Mailing Telephone 9529973020
Enumeration Date 2007-04-19
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 11956 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5803 Neal Ave N, Oak Park Heights, MN 550822177 6514398807 6514390232

Office Location

Street Address 295 PHALEN BLVD
City SAINT PAUL
State MN
Zip Code 55130-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013901875 Gwendolyn Martinique Kosevich Nurse Practitioner 295 Phalen Blvd, Saint Paul, MN 55130-2400 2005-09-08
1811536865 Kathryn Ann Hill Occupational Therapist 295 Phalen Blvd, Saint Paul, MN 55130-2400 2019-12-21
1659854123 Carla Klassen Physician Assistant 295 Phalen Blvd, Saint Paul, MN 55130-2400 2018-09-11
1447747563 Rishav Aggarwal Neurological Surgery 295 Phalen Blvd, Saint Paul, MN 55130-2400 2018-04-13
1528573458 Nancy Ann Mack Occupational Therapist 295 Phalen Blvd, Saint Paul, MN 55130-2400 2017-12-14
1720507254 Aditi Anil Velankar Physical Therapist 295 Phalen Blvd, Saint Paul, MN 55130-2400 2017-09-15
1811419120 Tamara Roseanne Nascene Occupational Therapist 295 Phalen Blvd, Saint Paul, MN 55130-2400 2017-07-10
1922537992 Jacque Therese Brumm Nurse Practitioner 295 Phalen Blvd, Saint Paul, MN 55130-2400 2017-06-05
1811420441 Zachary Bergman Surgery 295 Phalen Blvd, Saint Paul, MN 55130-2400 2017-04-10
1063963577 Group Health Plan Inc Durable Medical Equipment & Medical Supplies 295 Phalen Blvd, Saint Paul, MN 55130-2400 2016-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164904587 Confident Care LLC In Home Supportive Care 1040 Arkwright Street, Saint Paul, MN 55130 2018-09-01
1881015253 Lucas Bosco Wanga Psychologist 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 2014-01-02
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1427394501 Zongxee Lee Registered Nurse 1072 Payne Ave, St. Paul, MN 55130 2012-12-18
1740532753 One Stop Medical Supply Inc Durable Medical Equipment & Medical Supplies 1049 Payne Ave Suite C, St Paul, MN 55130 2012-10-15
1689923997 Alexis Simmons Counselor 402 University Ave East, Suite A-127, Saint Paul, MN 55130 2012-08-31
1689804064 Group Health Plan, Inc. Durable Medical Equipment & Medical Supplies 537 Phalen Blvd, Saint Paul, MN 55130 2009-07-21
1477756534 Chad Everett Christensen Chiropractor 1073 Payne Ave, Saint Paul, MN 55130 2007-06-07
1922219021 Qwik Urgent Care Clinic Family Medicine 1239 Payne Avenue, Saint Paul, MN 55130 2007-05-24
1275743981 Yia Vang Technician 1100 Arkwright St., St. Paul, MN 55130 2007-05-23
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1679107841 Kelsey Locken Physician Assistant 2285 University Ave W Unit 161, Saint Paul, MN 55114-1645 2020-02-26
1497395719 Demitri Nichelle Gockel Physician Assistant 750 Otto Ave Unit 2242, Saint Paul, MN 55102-5042 2020-01-14
1245870203 Ashley Kay Warner Physician Assistant 640 Jackson St # 11102f, Saint Paul, MN 55101-2595 2020-01-07
1275171795 Keith Fertey Moy Physician Assistant 594 Montrose Ln, Saint Paul, MN 55116-1158 2019-12-16
1609417757 Mh 101, PC Physician Assistant 1999 Shepard Rd, Saint Paul, MN 55116-3210 2019-09-30
1760048946 Amity Alice Carlson Physician Assistant 1600 University Ave W Ste 205, Saint Paul, MN 55104-3825 2019-05-14
1740747872 Angela Marie Schlangen Physician Assistant 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 2019-02-25
1922590488 Diane Mcleod Physician Assistant Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 2018-05-31
1649720533 Jeffrey Charles Otis Physician Assistant 405 Nebraska Ave E, Saint Paul, MN 55130-3226 2016-10-04
Find all providers in SAINT PAUL

Competitor

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City SAINT PAUL
Zip Code 55130

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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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