UNIVERSITY OF MINNESOTA PHYSICIANS (NPI# 1164569679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164569679 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MINNESOTA PHYSICIANS |
| Practice Address |
1300 2nd Street South Ste 180 Center for Sexual Health Minneapolis MN 55454 |
| Mailing Address |
6300 Shingle Creek Pkwy Ste 600 Brooklyn Center MN 55430-2124 |
| Practice Telephone | 6126251500 |
| Mailing Telephone | 7637826400 |
| Mailing Fax Number | 7637829558 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | MARY A JOHNSON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6128840802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 701372800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124274527 | University of Minnesota Physicians | Clinic/Center | 901 Second St S, Suite A, Minneapolis, MN 55415 | 2008-08-18 |
| 1144368531 | University of Minnesota Physicians | Clinic/Center | 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275 | 2007-02-01 |
| 1558408161 | University of Minnesota Physicians | Clinic/Center | 2020 East 28th Street, Smiley's Clinic, Minneapolis, MN 55407 | 2007-01-31 |
| 1477598118 | University of Minnesota Physicians | Clinic/Center | 420 Delaware St Se Mmc 126, University of Minnesota Physicians, Minneapolis, MN 55455-0341 | 2006-06-17 |
| 1710592837 | University of Minnesota Physicians | Clinic/Center | 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 | 2020-09-15 |
| 1467850206 | University of Minnesota Physicians | Clinical Medical Laboratory | 1200 Washington Ave S, Minneapolis, MN 55415-1295 | 2014-12-10 |
| 1730586819 | University of Minnesota Physicians | Clinic/Center | 814 South 3rd St, Minneapolis, MN 55415 | 2014-12-04 |
| 1922407980 | University of Minnesota Physicians | Counselor | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2014-08-15 |
| 1952546061 | University of Minnesota Physicians | Clinic/Center | 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 | 2008-12-04 |
| 1073650677 | University of Minnesota Physicians | Clinic/Center | 580 Rice Street, Bethesda Clinic, Saint Paul, MN 55103 | 2007-01-31 |
| Street Address |
1300 2ND STREET SOUTH STE 180 CENTER FOR SEXUAL HEALTH |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000646 | Life Care Health Services LLC | Clinic/Center | 1808 Riverside Ave Ste 211, Minneapolis, MN 55454-1121 | 2020-10-14 |
| 1366000135 | Both Sides Counseling LLC | Clinic/Center | 711 W Lake St Ste 402, Minneapolis, MN 55408-2954 | 2019-06-05 |
| 1649736513 | Brighter Possibilities Child and Family Counseling LLC | Clinic/Center | 1007 W Broadway Ave # 200, Minneapolis, MN 55411-2503 | 2019-02-15 |
| 1124525142 | Dan Christensen-cowan Licsw, L.L.C. | Clinic/Center | 3507 Lyndale Ave. South, Minneapolis, MN 55408-4159 | 2018-04-06 |
| 1255690384 | Hope Alliance Health | Clinic/Center | 951 Lowry Ave Ne Apt 201, Minneapolis, MN 55418-1912 | 2012-05-09 |
| 1417181793 | Al-wafaa Center for Human Services | Clinic/Center | 3315 N 2nd St., Minneapolis, MN 55412-2659 | 2009-05-14 |
| 1154583425 | Raye Mcphillips Eyrich, Ph.d., L.p., LLC | Clinic/Center | 825 Nicollet Mall Ste 612, Minneapolis, MN 55402-2612 | 2008-06-27 |
| 1689280190 | Al-baraka Mental Health | Clinic/Center | 2203 James Ave N, Minneapolis, MN 55411-1930 | 2020-09-20 |
| 1679114144 | Priomh Healing Services Inc | Clinic/Center | 2104 Park Ave, Minneapolis, MN 55404-6607 | 2019-10-04 |
| 1265087373 | Lyuba Megits, Md LLC | Clinic/Center | 3108 Hennepin Ave, Minneapolis, MN 55408-2619 | 2019-08-06 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on UNIVERSITY OF MINNESOTA PHYSICIANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.