JUTARAT SANGTIAN


Address: 401 Phalen Blvd, Saint Paul, MN 55130-5302
Phone: 6512547870

JUTARAT SANGTIAN (NPI# 1568844587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568844587
Entity Type Individual
Full Name JUTARAT SANGTIAN
Credential M.D.
Practice Address 401 Phalen Blvd
Saint Paul
MN 55130-5302
Mailing Address 8170 33rd Ave S
Bloomington
MN 55425-4516
Practice Telephone 6512547870
Mailing Telephone 6512547870
Enumeration Date 2015-06-25
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
66474 MN Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
420 Delaware St Se, Mmc 284, Minneapolis, MN 554550341 6126265031

Office Location

Street Address 401 PHALEN BLVD
City SAINT PAUL
State MN
Zip Code 55130-5302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982699740 Marlane J Brown Optometrist 401 Phalen Blvd, Saint Paul, MN 55130-5302 2005-09-16
1588297113 Choua Yang Polaski Nurse Practitioner 401 Phalen Blvd, Saint Paul, MN 55130-5302 2020-02-21
1588295687 Fadumo Adan Salad Nurse Practitioner 401 Phalen Blvd, Saint Paul, MN 55130-5302 2020-01-28
1992345110 Hannah Kristine Dahl Physician Assistant 401 Phalen Blvd, Saint Paul, MN 55130-5302 2020-01-15
1417476185 Rebecca Horvath Audiologist 401 Phalen Blvd, Saint Paul, MN 55130-5302 2017-09-14
1154867430 Erika Jarvey Physician Assistant 401 Phalen Blvd, Saint Paul, MN 55130-5302 2017-01-11
1134674682 Kacie Jo Massey Physician Assistant 401 Phalen Blvd, Saint Paul, MN 55130-5302 2016-08-24
1902251325 Jennifer Lonetti Physical Therapist 401 Phalen Blvd, Saint Paul, MN 55130-5302 2016-05-04
1003270232 Andrea Langeveld Dermatology 401 Phalen Blvd, Saint Paul, MN 55130-5302 2016-04-13
1649640152 Brittany Rae Kelly Physician Assistant 401 Phalen Blvd, Saint Paul, MN 55130 2015-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164904587 Confident Care LLC In Home Supportive Care 1040 Arkwright Street, Saint Paul, MN 55130 2018-09-01
1881015253 Lucas Bosco Wanga Psychologist 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 2014-01-02
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1427394501 Zongxee Lee Registered Nurse 1072 Payne Ave, St. Paul, MN 55130 2012-12-18
1740532753 One Stop Medical Supply Inc Durable Medical Equipment & Medical Supplies 1049 Payne Ave Suite C, St Paul, MN 55130 2012-10-15
1689923997 Alexis Simmons Counselor 402 University Ave East, Suite A-127, Saint Paul, MN 55130 2012-08-31
1689804064 Group Health Plan, Inc. Durable Medical Equipment & Medical Supplies 537 Phalen Blvd, Saint Paul, MN 55130 2009-07-21
1477756534 Chad Everett Christensen Chiropractor 1073 Payne Ave, Saint Paul, MN 55130 2007-06-07
1922219021 Qwik Urgent Care Clinic Family Medicine 1239 Payne Avenue, Saint Paul, MN 55130 2007-05-24
1275743981 Yia Vang Technician 1100 Arkwright St., St. Paul, MN 55130 2007-05-23
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174865570 Sarang Patel Internal Medicine 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 2013-03-23
1326027954 Brian Alan Swiglo Internal Medicine 255 Smith Ave N, Suite 100 United Medical Specialties St Paul, Saint Paul, MN 55102-2572 2006-01-12
1326134214 Kevin J Sheridan Internal Medicine 200 University Ave E, Saint Paul, MN 55101-2507 2006-10-05
1972557908 Luke E Benedict Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-05-22
1578526315 Victor Alan Corbett Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-04-11
1154382927 James J Wiberg Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-03-31
1215996954 Munir Abid Internal Medicine 255 Smith Ave N, Suite 100, Saint Paul, MN 55102-2572 2006-03-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538697818 Mohammed Nmn Ahmed Internal Medicine 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 2017-05-31
1538395496 Jacklyn Mae Ellickson Internal Medicine 401 Phalen Bl Vd, Ms 41103d, St Paul, MN 55130-5302 2009-06-05
1821245960 Columba Alphonsus Gorman Internal Medicine 2607 Merrihills Dr Sw, Rochester, MN 55902-1168 2008-08-20
1861547382 Lawrence D Schuster Internal Medicine 4999 France Ave S Ste 255, Minneapolis, MN 55410-1734 2007-01-24
1497804496 Christopher Mark Schoonover Internal Medicine 255 Smith Avenue No #100, United Medical Specialties, St. Paul, MN 55102 2007-01-09
1235225160 Charles John Billington Internal Medicine Minneapolis Vamc, Metabolic Section (111g), One Veterans Drive, Minneapolis, MN 55417 2006-10-05
1376651786 Nacide Ercan-fang Internal Medicine Mpls Va Medical Center One Veterans Drive, 111g Endocrine/metabolic, Minneapolis, MN 55417 2006-08-26
1891703005 Sindhu M. Devani Internal Medicine 1900 Centracare Dr #2500, Centracare Clinic- Health Plaza Specialties/endocrinolo, St Cloud, MN 56303 2006-08-03
1508806811 Sidney Amos Jones Internal Medicine 111 Hundertmark Rd Ste 115n, Chaska, MN 55318-1584 2006-06-07
1679532022 Thomas William Laedtke Internal Medicine 7701 York Ave S, Suite 180, Edina, MN 55435 2006-03-22
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Competitor

Search similar providers

City SAINT PAUL
Zip Code 55130

Improve Information

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Dataset Information

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.

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