OrganizationActive
Associated Anesthesiologists PA
NPI 1780610139 · Anesthesiology Physician · Lake Elmo, MN
Provider details
- NPI number
- 1780610139
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debbie Popham, Credentialing Specialist(651) 209-8071
- License
- 435 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8681 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone: (651) 251-8021
Fax: (651) 251-8050
Approximate (ZIP-level) locationGet directions
Mailing address
8681 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2012-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.