Active NPI
Patricia Ann O Neill Scheidt, PAC PHYSICIAN ASSIST
- Physician Assistant
- St James, MN
National Provider Identifier
1275660854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9020
- Practice address
- 905 6TH Ave So
St James, MN 56081-2152 - Phone
- (507) 375-3417
- Fax
- (507) 375-5355
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9020 | MN | Primary |
Addresses
Primary practice location
905 6TH Ave So
St James, MN 56081-2152
Mailing address
703 Ironwood Ave NE
New Prague, MN 56071-2126
Phone (952) 758-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9020 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275660854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 IRONWOOD AVE NE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560712126",
"telephone_number": "952-758-2111",
"fax_number": "952-758-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 6TH AVE SO",
"city": "ST JAMES",
"state": "MN",
"postal_code": "560812152",
"telephone_number": "507-375-3417",
"fax_number": "507-375-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O NEILL SCHEIDT",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PAC PHYSICIAN ASSIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St James, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.