Patient Centered Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

44069 Issued in MN

Legal business name

PATIENT CENTERED CARE LLC

Practice address

238 Wentworth Ave E
West Saint Paul, MN 55118-3525

Phone

(651) 338-8424

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rwoof A Reshi, MD

Title

Ceo

Phone

(651) 338-8424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Elizabeth McKenzie, PA-C

  • Physician Assistant
  • Minneapolis, MN
  • NPI 1841523412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1336323328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10186 WATERFRONT DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298581",
            "telephone_number": "651-338-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 WENTWORTH AVE E",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551183525",
            "telephone_number": "651-338-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "RESHI",
        "authorized_official_first_name": "RWOOF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-338-8424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "44069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811923436",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamila Mohamud
• Scott Andrew Mooring, DC
• Mindy Nguyen
• Nur I Odowa
• Justine Olson, PHARMD
• Angela LP Peterson, CMT
• Premier Health of West St Paul
• Stephanie Prichett, DPT
• Riverside Transportation and Interpretation, LLC
• Angela Rizo Rosales, M.A. OTR/L

• Primary Care Clinic/Center in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.