Active NPI
James Theodore Riggen, P.A.
- Physician Assistant
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10945
- Practice address
- 407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950 - Phone
- (218) 786-4357
- NPI assigned
- Feb 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9105381 | FL | |
| Physician Assistant | 363A00000X | 10945 | MN | Primary |
Addresses
Primary practice location
407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950
Mailing address
407 E 3Rd St
Essentia Health St. Mary's Medical Center
Duluth, MN 55805-1950
Phone (218) 786-4357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9105381 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105381 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Memorial Hospital Association Inc | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Lakeview Memorial Hospital Association Inc. | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients |
Locations
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neonatal Nurse Practitioner
- Stillwater, MN
- NPI 1821114729
-
dba Critical Access Hospital
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
-
dba Regions Professional Group
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
dba Fairview St John's Hospital
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba Lakeview Outpatient Pharmacy
- Pharmacy
- Stillwater, MN
- NPI 1326124454
-
dba MLHS Community Pharmacy
- Community/Retail Pharmacy
- Onamia, MN
- NPI 1841947801
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Family Medicine Physician
- Brooklyn Park, MN
- NPI 1447668678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1083946032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 E 3RD ST",
"address_2": "ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051950",
"telephone_number": "218-786-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E 3RD ST",
"address_2": "ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051950",
"telephone_number": "218-786-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGEN",
"first_name": "JAMES",
"middle_name": "THEODORE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-02",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9105381",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "10945",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA9105381",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.