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MISO EAGAN
NPI 1104400563
Physician Assistant in Eagan, MN

Active since May 11, 2021
2985 AMES CROSSING RD, EAGAN, MN 55121(802) 857-0400 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, May 11, 2021 (2 updates tracked since 2021).

About Miso Eagan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISO EAGAN (NPI 1104400563) is a healthcare organization registered as a physician assistant in Eagan, Minnesota and active in the NPI registry since May 2021. The organization lists Terry Layman, Corporate Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1104400563
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMH HEALTH CARE SERVICES, PC
Location Address2985 AMES CROSSING RDEagan, MN 55121-2498
Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239 · (802) 857-0400
Phone(802) 857-0400
Organization SubpartNo
Authorized OfficialTerry LaymanCorporate Medical Officer · (317) 727-6898
Enumeration DateMay 11, 2021
Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1104400563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2985 AMES CROSSING RD, Eagan, MN 55121
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Other Names 1

Other NameMiso Eagan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mh Health Care Services, PC's NPI number?

The NPI number for Mh Health Care Services, PC is 1104400563. It was assigned to this organization in the NPPES registry on May 11, 2021. The provider is also known as Miso Eagan.

Where is Mh Health Care Services, PC located?

Mh Health Care Services, PC is located at 2985 Ames Crossing Rd, Eagan, MN 55121. The listed phone number is (802) 857-0400.

What is Mh Health Care Services, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mh Health Care Services, PC was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.