Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abiel Koffi Madje Adjagodo, PA-C

Individual provider Physician Assistant · NPI 1760150692

Abiel Koffi Madje Adjagodo, PA-C is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2023, 3 years ago. Practices with West Side Community Health Services, Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

895 7th St E
Saint Paul, MN 55106-3871
Phone: (763) 377-5545
Fax: (651) 602-7513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14697 (MN)

Record details

NPI number1760150692
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice West Side Community Health Services, Inc. — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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