Mr. Luis Santiago Escobar Acevedo
Mr. Luis Santiago Escobar · Physician Assistant

Address: 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550
Phone: 5073753261

Mr. Luis Santiago Escobar Acevedo (NPI# 1922406222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922406222
Entity Type Individual
Full Name Mr. Luis Santiago Escobar Acevedo
Other Name Mr. Luis Santiago Escobar
Credential PA-C
Gender Male
Practice Address 1101 Moulton and Parsons Dr
Saint James
MN 56081-5550
Practice Telephone 5073753261
Mailing Address 1101 Moulton and Parsons Dr
Saint James
MN 56081-5550
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2014-12-18
Last Update Date 2015-01-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 11704 MN

Physician Overview

NPI 1922406222
PAC ID by PECOS 0446575500
Professional Enrollment ID I20150211002421
Full Name Luis S Escobar Acevedo
Organization Legal Name MAYO CLINIC HEALTH SYSTEM ST JAMES
Phone Number 5076254031
Gender M
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 9537170352
Number of Group Practice Members 34
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
241333 MAYO CLINIC HEALTH SYSTEM - ST JAMES
240093 MAYO CLINIC HEALTH SYSTEM - MANKATO

Office Location

Street Address 1101 MOULTON AND PARSONS DR
City SAINT JAMES
State MN
Zip Code 56081-5550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588649180 Julie A Pace Nurse Practitioner 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2005-12-07
1386040475 Vanda Jandl Pharmacist 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2014-11-17
1154564011 Mayo Clinic Health System-st James Non-Pharmacy Dispensing Site 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2009-04-08
1881845683 Yvonne Myrna Gratz Nurse Practitioner 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2008-10-10
1023177730 Mayo Clinic Health System St. James Clinic/Center 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2006-12-08
1790844413 Mayo Clinic Health System St. James General Acute Care Hospital 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2006-12-08
1093896037 Mikal Joseph Mikkelson Specialist/Technologist 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2006-10-18
1639198732 Mayo Clinic Health System St. James General Acute Care Hospital 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326219338 The Evangelical Lutheran Good Samaritan Society Assisted Living Facility 1110 Second St S, St James, MN 56081 2008-03-18
1821044843 Shelly Marie Palmer Physician Assistant 1207 6th Ave So, St Jame Health Services, St James, MN 56081 2006-05-25
1679625628 Drs Moulton & Parsons Md Family Medicine 502 2nd Ave S, St James, MN 56081 2007-01-18
1124132956 Lindy C Eatwell Family Medicine 1101 Moulton and Parson Drive, St James, MN 56081-0460 2006-08-18
1568419638 Joseph Henry Hamm Family Medicine 1101 Moulton and Parsons Drive, St James, MN 56081-0460 2006-05-27
1518906031 Kimberlee Jo Nelson Nutritionist 1101 Moulton and Parsons Drive, St James, MN 56081-0460 2006-06-06
1962441477 Kara Elizabeth Anderson Nurse Practitioner 1101 Moulton and Parsons Drive, St James, MN 56081-0460 2006-06-06
1720448400 Brigette Glienke Community Health Worker 717 1st St N, Saint James, MN 56081-1130 2016-02-24
1497879977 David J Haler Chiropractor 700 1st St S, Saint James, MN 56081-1308 2007-03-19
1225037708 Curtis Leon Leimer Chiropractor 800 Weston Ave, St James, MN 56081-1642 2005-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447572714 Paul Robert Cella Physician Assistant 1 Robin Hill Ln, Saint James, NY 11780-1000 2010-02-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235697509 Jeff O Bohlman Physician Assistant 1950 Northwestern Ave, Suite 102, Stillwater, MN 55082 2019-03-06
1669939658 Jessica Adeline Satrom Physician Assistant 5565 Blaine Ave Ste 200, Inver Grove Heights, MN 55076-1241 2019-02-26
1740747872 Angela Marie Schlangen Physician Assistant 435 Phalen Blvd., Mail Stop 51103c, Saint Paul, MN 55130-5302 2019-02-25
1588138770 Tammy M Danielson Physician Assistant 3231 35th Ave S, Minneapolis, MN 55406-2115 2019-01-22
1437623568 Dana Billing Physician Assistant 909 Fulton St. Se, 4th Floor North, Minneapolis, MN 55455 2019-01-11
1396217287 Abraham Sanchez Physician Assistant Mayo Clinic Health System Southeast Minnesota Region, 701 Hewitt Blvd, Red Wing, MN 55066-2848 2018-12-18
1164994083 Megan Renae Smith Physician Assistant 2014 South 6th Street, Brainerd, MN 56401 2018-12-18
1891266730 David Scott Trcka Physician Assistant 916 St. Peter Ave E, Delano, MN 55328-2813 2018-12-17
1396217220 Danielle K Liu Physician Assistant 10567 Kilbirnie Rd, Woodbury, MN 55129-9296 2018-12-17
1780154419 Allina Health System Physician Assistant 16725 County Road 24, Plymouth, MN 55447-1289 2018-11-26
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Competitor

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City SAINT JAMES
Zip Code 56081

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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