FAMILY HEALTHSERVICES MINNESOTA, P.A. (NPI# 1629258348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629258348 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHSERVICES MINNESOTA, P.A. |
| Other Organization Name | ENTIRA FAMILY CLINICS-HIGHLAND |
| Practice Address |
1540 Randolph Ave Saint Paul MN 55105-2535 |
| Mailing Address |
2025 Sloan Pl Suite 35 Saint Paul MN 55117-2007 |
| Practice Telephone | 6516998333 |
| Practice Fax Number | 6516999257 |
| Mailing Telephone | 6517721572 |
| Mailing Fax Number | 6517721889 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | PAUL BERRISFORD (COO) |
| Authorized Official Telephone | 6517721572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1428 | MN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Entira Family Clinics-Highland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124206677 | Family Healthservices Minnesota, P.a. | Family Medicine | 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 | 2008-02-07 |
| 1427190537 | Family Healthservices Minnesota, P.a. | Non-Pharmacy Dispensing Site | 1814 N Saint Paul Rd, Maplewood, MN 55109-4700 | 2007-02-13 |
| 1588807895 | Family Healthservices Minnesota, P.a. | Non-Pharmacy Dispensing Site | 234 Wentworth Ave E, West St Paul, MN 55118-3525 | 2009-04-16 |
| 1528248259 | Family Healthservices Minnesota, P.a. | Family Medicine | 3550 Labore Rd, Suite 7, Saint Paul, MN 55110-7505 | 2007-11-09 |
| 1437339165 | Family Healthservices Minnesota, P.a. | Family Medicine | 3220 Bellaire Ave, White Bear Lake, MN 55110-5854 | 2007-11-09 |
| 1538349253 | Family Healthservices Minnesota, P.a. | Family Medicine | 2980 Buckley Way, Inver Grove Heights, MN 55076-2017 | 2007-11-09 |
| 1790965424 | Family Healthservices Minnesota, P.a. | Family Medicine | 2056 Woodlane Dr, Woodbury, MN 55125-2917 | 2007-11-09 |
| 1538349261 | Family Healthservices Minnesota, P.a. | Family Medicine | 1814 N Saint Paul Rd, Maplewood, MN 55109-4700 | 2007-11-09 |
| 1639359359 | Family Healthservices Minnesota, P.a. | Family Medicine | 4786 Banning Ave, White Bear Lake, MN 55110-3264 | 2007-11-09 |
| 1801076526 | Family Healthservices Minnesota, P.a. | Family Medicine | 234 Wentworth Ave E, West St Paul, MN 55118-3525 | 2007-11-09 |
| Street Address |
1540 RANDOLPH AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233731 | Amy Loreen Gilbert | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2005-08-31 |
| 1609251628 | Nicole Kwapick | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105 | 2015-07-21 |
| 1053731323 | Aaron Ulland | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2014-04-24 |
| 1073847067 | Sarah Christine Olson | Physician Assistant | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2009-09-24 |
| 1598983082 | East Metro Family Practice, P.a. | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-04-23 |
| 1366584526 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2007-02-13 |
| 1427061944 | Alden R Tetlie | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-14 |
| 1124039177 | Denise J Long | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1336150473 | Steven C Skildum | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-11 |
| 1316953086 | Michelle L Swiglo | Family Medicine | 1540 Randolph Ave, Saint Paul, MN 55105-2535 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457889420 | Thanh Phung | Family Medicine | 2155 Ford Pkwy Ste A, Saint Paul, MN 55116-2799 | 2017-06-02 |
| 1518338268 | Northstar Professional Services | Family Medicine | 924 Rice St, Saint Paul, MN 55117-4987 | 2015-10-07 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1306287719 | John Gordon Faughnan | Family Medicine | 1660 Stanford Ave, Saint Paul, MN 55105-2038 | 2013-07-13 |
| 1194041277 | Mark William Eaton | Family Medicine | 333 Smith Ave N # Ms 60202, Saint Paul, MN 55102-2344 | 2010-04-14 |
| 1326277815 | Branden James Pfefferkorn | Family Medicine | 2004 Ford Pkwy # Ms 35300a, Saint Paul, MN 55116-1931 | 2009-07-07 |
| 1780812651 | James Edward Hougas IIi | Family Medicine | Ump Phalen Village Clinic, 1414 Maryland Ave E, Saint Paul, MN 55106 | 2009-06-30 |
| 1871748509 | Deborah Lee Wexler | Family Medicine | 1573 Selby Ave, Suite 234, Saint Paul, MN 55104-6293 | 2008-11-21 |
| 1124206677 | Family Healthservices Minnesota, P.a. | Family Medicine | 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 | 2008-02-07 |
| 1174703805 | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | Family Medicine | 1385 Phalen Boulevard, Saint Paul, MN 55106 | 2007-11-09 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
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| 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.