Peuang Baccam

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

7515 11TH Ave S
Richfield, MN 55423-4504

Phone

(612) 861-2337

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992927602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 11TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234504",
            "telephone_number": "612-861-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 11TH AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234504",
            "telephone_number": "612-861-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCAM",
        "first_name": "PEUANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avant Health LLC
• Mary Jo Isabel Avendano, L.M.F.T.
• Avinity Management Company
• Hugh W Aylward, LP
• Theresa Marie Aymond, DT
• Back to Health LTD
• Elliot Daniel Backer, PA-C
• Ayan Badal
• Christopher Bakouris, O.D.
• Luis Pedro Barillas Schwank, MD

• All providers in Richfield, MN
• Personal Care Attendant in Minnesota

• 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.

Verify at the official NPI Registry.