Doline Monyenye Omirera Kebasso , PA-C
Physician Assistant • Robbinsdale, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Doline Omirera Kebasso has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Doline Omirera Kebasso, PA-C was a registered Physician Assistant practicing in Robbinsdale, MN. Throughout an active medical career spanning 9 years, Doline Omirera Kebasso provided care at the practice location at 3366 OAKDALE AVE N until profile deactivation on 2021-08-24.
Practice Location & Contact Primary Location
3366 Oakdale Ave N
Suite 103
Robbinsdale, MN 554222948
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Robbinsdale, MN
Practicing in Robbinsdale, MN (4026 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
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
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Physical Therapist
Doctor of Physical Therapy
Physical Therapist
Physical Therapist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 24, 2021
NPI status registered as active in NPPES database
Registered at 3366 OAKDALE AVE N, SUITE 103, ROBBINSDALE, MN 554222948 (Tel: 7635207870)
Registered at 4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 554224840 (Tel: 9525125600)
Recorded as DOLINE OMIRERA KEBASSO, PA-C
Physician Assistant (License #1883 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4200 Dahlberg Dr, Suite 300
Golden Valley, MN 554224840
Phone: 9525125600
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