Midwest Healthcare Groups PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MIDWEST HEALTHCARE GROUPS PLLC

Practice address

21410 136TH Ave N ,Ste 105B
Rogers, MN 55374-4921

Phone

(763) 290-6622

Fax

(949) 288-0273

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ammar Khashan, PA-CNPI 1497059406

Title

Ceo

Phone

(651) 829-4326

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ammar Khashan, PA-C

  • Physician Assistant
  • Oceanside, CA
  • NPI 1497059406

  MN

  Medicare reassignment Care Compare group Authorized official
• Kari Ann Roden, PA-C

  • Physician Assistant
  • Robbinsdale, MN
  • NPI 1306285887
  Medicare reassignment Care Compare group
• Cory A. Muonio, NP

  • Family Nurse Practitioner
  • Annandale, MN
  • NPI 1578146221
  Medicare reassignment NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1982207932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21410 136TH AVE STE 105B",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744921",
            "telephone_number": "763-290-6622",
            "fax_number": "949-288-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21410 136TH AVE N ,STE 105B",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744921",
            "telephone_number": "763-290-6622",
            "fax_number": "949-288-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTHCARE GROUPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "KHASHAN",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-829-4326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Marweg, PHARMD
• Herbert Matanga, CNP
• Ryan G Meehl
• Larissa Rose Meyer, MT-BC
• Midwest Healthcare Groups PLLC
• Cyrenia Miller
• Jaime Koren Miller, NP
• Mind Sparks L. L. C.
• Justin Robert Moe
• Hafsa Kadid Mohamed

• Urgent Care Clinic/Center in Rogers, MN
• Providers in Rogers, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.