UNIVERSITY OF MINNESOTA PHYSICIANS (NPI# 1669519278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669519278 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MINNESOTA PHYSICIANS |
| Practice Address |
1414 Maryland Ave E Phalen Village Clinic Saint Paul MN 55106 |
| Mailing Address |
6300 Shingle Creek Pkwy Ste 600 Brooklyn Center MN 55430-2124 |
| Practice Telephone | 6517723461 |
| 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 FINANCIAL OFFICER) |
| Authorized Official Telephone | 6128840802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
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 |
| 1164569679 | University of Minnesota Physicians | Clinic/Center | 1300 2nd Street South Ste 180, Center for Sexual Health, Minneapolis, MN 55454 | 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 |
| Street Address |
1414 MARYLAND AVE E PHALEN VILLAGE CLINIC |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992816 | Torbjorn Morkeberg | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-29 |
| 1609497973 | Mary Agnes Soderlund | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-28 |
| 1578183042 | Erica Swenson | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-24 |
| 1699395780 | Samuel Renier | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-20 |
| 1003436106 | Andrew Dahl | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-20 |
| 1619597770 | Eric Demaris | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-19 |
| 1124652557 | Fairview Clinics | Clinic/Center | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-02-25 |
| 1750947040 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-05-13 |
| 1184288524 | John Christopher Hiestand Goodnow | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-04-30 |
| 1659834844 | Kyle Matthew Hunt | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053591586 | Hmong Chiropractic Clinic, Pllc | Clinic/Center | 616 Rice St, Suite B, Saint Paul, MN 55103-1827 | 2007-11-13 |
| 1558512632 | Danielle Trego, Pa | Clinic/Center | 50 Cretin Ave S, Saint Paul, MN 55105-1042 | 2008-10-07 |
| 1225295959 | Arcade Medical Clinic | Clinic/Center | 651 Arcade St, Saint Paul, MN 55106-4518 | 2008-05-20 |
| 1932316916 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2007-05-17 |
| 1073650677 | University of Minnesota Physicians | Clinic/Center | 580 Rice Street, Bethesda Clinic, Saint Paul, MN 55103 | 2007-01-31 |
| 1265547533 | David L. Gilbertson, Do, Pa | Clinic/Center | 2315 Como Ave, Saint Paul, MN 55108-1723 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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.