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Active NPI 1104800358 Individual Practitioner Male Practitioner

John W Stoulil , PA-C

Physician Assistant • Blaine, MN

Professional Overview & Biography Verified Profile Summary

John Stoulil, PA-C is a registered healthcare professional specializing in Physician Assistant in Blaine, MN. Practice services are available at 12175 ABERDEEN ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12175 Aberdeen St Ne

Blaine, MN 554494717

Telephone 7637854200
Fax 7637853314

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Blaine, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
26 Specialists

Practicing in Blaine, MN (4026 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9410

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Kevin Bailey , MD

Family Medicine

NPI 1043294440

Doctor of Medicine (M.D.)

NPI 1083698666

Doctor of Medicine (M.D.)

Dr. Steven Bentz , MD

Family Medicine

NPI 1184606774

Doctor of Medicine (M.D.)

Dr. Eleanor Beltran , MD

Internal Medicine

NPI 1184608747

Doctor of Medicine (M.D.)

Dr. Carol Sarpal , MD

Family Medicine

NPI 1215911466

Doctor of Medicine (M.D.)

Michael Tchida , PA-C

Physician Assistant

NPI 1265416432

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12175 ABERDEEN ST NE, BLAINE, MN 554494717 (Tel: 7637854200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12175 ABERDEEN ST NE, BLAINE, MN 554494717 (Tel: 7637854200)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN STOULIL, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #9410 in MN)

🟢
Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104800358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

12175 Aberdeen St Ne

Blaine, MN 554494717

Phone: 7637854200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.