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JEROME D PHAFF PA
NPI 1821196460
Physician Assistant in Minneapolis, MN

Active since September 20, 2006
4225 GOLDEN VALLEY ROAD, MINNEAPOLIS, MN 55422(763) 588-0661(763) 302-4218 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jerome D Phaff Pa NPPES

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

JEROME D PHAFF PA (NPI 1821196460) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (10758) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1821196460
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEROME D PHAFFCredential: PA
Location Address4225 GOLDEN VALLEY ROADMinneapolis, MN 55422-4215
Mailing Address4225 Golden Valley RoadMinneapolis, MN 55422-4215 · (763) 588-0661 · Fax (763) 302-4218
Phone(763) 588-0661
Fax(763) 302-4218
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 31, 2019
✔ NPI 1821196460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 10758
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.
4225 GOLDEN VALLEY ROAD, Minneapolis, MN 55422
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY ANDERSON RN
Registered Nurse
4225 GOLDEN VALLEY ROAD
GOLDEN VALLEY, MN 55422
Hennepin County (763) 588-0661

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 Jerome Phaff's NPI number?

The NPI number for Jerome Phaff is 1821196460. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jerome Phaff located?

Jerome Phaff practices at 4225 Golden Valley Road, Minneapolis, MN 55422. The listed phone number is (763) 588-0661.

What is Jerome Phaff'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 Jerome Phaff was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.