James P Kearin, PA -C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

8930 Issued in MN

Practice address

2800 Chicago Ave
Suite 402
Minneapolis, MN 55407-1318

Phone

(952) 814-6600

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1639100282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 METRO DR",
            "address_2": "SUITE 330",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254506",
            "telephone_number": "952-814-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CHICAGO AVE",
            "address_2": "SUITE 402",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071318",
            "telephone_number": "952-814-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARIN",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "PA -C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "8930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554197200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Kazadi, MD, PHD
• Cheryl Kazemek, LICSW
• Amena Kazmi
• Chelsea Kazmierczak-Goethel, MS, CNS, LN
• Bonnie Keane, APRN, CNP
• Elizabeth R Kearney, MD
• Raymond Warren Kearney III, M.D.
• Susan Lynn Kearney, MD
• Peggy Wolf Kearns, R.D.
• Margaret Keating, MA LP

• Surgical Physician Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Surgical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.