Tawatchai Paisansinsup
PARK NICOLLET CLINIC


Address: 18432 Kenrick Ave, Lakeville, MN 55044-9288
Phone: 9529938800

Tawatchai Paisansinsup (NPI# 1881671881, PAC ID# 4082697867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1881671881
PAC ID by PECOS 4082697867
Professional Enrollment ID I20040611000698
Full Name Tawatchai Paisansinsup
Organization Legal Name PARK NICOLLET CLINIC
Address 18432 Kenrick Ave
Lakeville
MN 55044-9288
Phone Number 9529938800
Gender M
Credential MD
Graduation Year 1993
Primary Specialty RHEUMATOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 7911819438
Number of Group Practice Members 1323
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240053 PARK NICOLLET METHODIST HOSPITAL

Other Locations

Address Phone Organization
5320 Hyland Greens Dr, Bloomington, MN 55437-3934 9529932400 PARK NICOLLET CLINIC
6000 Earle Brown Dr, Brooklyn Center, MN 55430-2506 9529934900 PARK NICOLLET CLINIC
12142 Business Park Blvd N, Champlin, MN 55316-4525 9529770500 PARK NICOLLET CLINIC
300 Lake Dr E, Chanhassen, MN 55317-9302 9529934300 PARK NICOLLET CLINIC
1885 Plaza Dr, Eagan, MN 55122-2979 9529934001 PARK NICOLLET CLINIC
8455 Flying Cloud Dr, Eden Prairie, MN 55344-3974 9529937400 PARK NICOLLET CLINIC
19685 Hwy 7, Excelsior, MN 55331-7516 9529935900 PARK NICOLLET CLINIC
18432 Kenrick Ave, Lakeville, MN 55044-9288 9529938800 PARK NICOLLET CLINIC
15800 95th Ave N, Maple Grove, MN 55369-4400 9529931440 PARK NICOLLET CLINIC
15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 9529934500 PARK NICOLLET CLINIC
4155 County Rd 101, Plymouth, MN 55446-2307 9529938900 PARK NICOLLET CLINIC
4670 Park Nicollet Ave Se, Prior Lake, MN 55372-4119 9529937750 PARK NICOLLET CLINIC
1415 Saint Francis Ave, Shakopee, MN 55379-3374 9529937750 PARK NICOLLET CLINIC
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 PARK NICOLLET CLINIC
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 9529933123 PARK NICOLLET CLINIC
3931 Louisiana Ave S, St Louis Park, MN 55426-5000 PARK NICOLLET CLINIC
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 9529933123 PARK NICOLLET CLINIC
250 Central Ave N, Wayzata, MN 55391-1206 9529933123 PARK NICOLLET CLINIC

Organization Information

Organization Legal Name PARK NICOLLET CLINIC
Physicians 1272

Physicians with the same organization

Name Specialty Organization Address
Grace Marie Irish Nurse Practitioner Park Nicollet Clinic 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Johanna Dijkstal Beebe Ophthalmology Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Lonzale Ramsey Family Medicine Park Nicollet Clinic 2001 Blaisdell Ave, Minneapolis, MN 55404-2414
Kurt Wolff Physical Therapy Park Nicollet Clinic 15800 N 95th Ave, Maple Grove, MN 55369-4400
Alexandra E Wells Internal Medicine Park Nicollet Clinic 13688 Rogers Dr, Rogers, MN 55374-4916
Mysoon M Ayuob Family Medicine Park Nicollet Clinic 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201
Brian Lee Walters Orthopedic Surgery Park Nicollet Clinic 14000 Fairview Dr, Burnsville, MN 55337-5713
Jared J Mell Family Medicine Park Nicollet Clinic 4951 Excelsior Blvd, St Louis Park, MN 55416-3033
Sean M Reardon Clinical Psychologist Park Nicollet Clinic 9555 Upland N Ln, Maple Grove, MN 55369-4485
Jeffrey J Mohr Physician Assistant Park Nicollet Clinic 1885 Plaza Dr, Eagan, MN 55122-2979

Office Location

Street Address 18432 KENRICK AVE
City LAKEVILLE
State MN
Zip 55044-9288

Physicians in the same location

Name Specialty Organization Address
Kristin A Witte Family Medicine Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Thomas J Davis Cardiovascular Disease (cardiology) Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Kristi A Trostel Internal Medicine Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Geeta L Balkissoon Family Medicine Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
David A Gray Family Medicine Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Zhen Zhen X Luo Internal Medicine Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Anne B Neeley Dermatology Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Phillip M Kofron Family Medicine Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Heidi R Kimmel Physician Assistant Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Peter D Kent Rheumatology Park Nicollet Clinic 18432 Kenrick Ave, Lakeville, MN 55044-9288
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Emily A Huseth Chiropractic Turning Leaf Chiropractic Pa 10440 185th W St, Suite 300, Lakeville, MN 55044
Jill R Hammes Chiropractic Turning Leaf Chiropractic Pa 10440 185th W St, Suite 300, Lakeville, MN 55044
Rebekah M Oakland-garey Chiropractic Turning Leaf Chiropractic Pa 10440 185th W St, Suite 300, Lakeville, MN 55044
Alice S Mann Family Medicine Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Joel H Hendrickson Emergency Medicine Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Jason C Davis Physician Assistant Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Suzanne M Schaefer Family Medicine Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Mary A Scheid Family Medicine Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Debra M Mcguire-lang Physician Assistant Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Gretchen A Herrmann Physician Assistant Northfield Hospital 9974 214th St W, Lakeville, MN 55044-1913
Find all physicians in zip 55044

Competitor

Search similar physicians

City LAKEVILLE
Zip Code 55044
Specialty RHEUMATOLOGY
City + Specialty LAKEVILLE + RHEUMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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