UNIVERSITY OF MINNESOTA PHYSICIANS


Address: 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275
Phone: 9525254500

UNIVERSITY OF MINNESOTA PHYSICIANS (NPI# 1710592837) 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) 1710592837
Entity Type Organization
Organization Name UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address 5775 Wayzata Blvd Ste 255
Minneapolis
MN 55416-1275
Practice Telephone 9525254500
Practice Fax Number 9525251560
Mailing Telephone 9525254500
Mailing Fax Number 9525251560
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Authorized Official Name NATHAN KOHLRUSCH (MANAGER, CREDENTIALING/PROVIDER ENR)
Authorized Official Telephone 6128840834
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
UMPhysicians Psychiatry Clinic Navigate Program Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 5775 WAYZATA BLVD STE 255
City MINNEAPOLIS
State MN
Zip Code 55416-1275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952535155 Alik Sunil Widge Psychiatry & Neurology 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416 2009-05-04
1790997393 Sonya Grace Wang Psychiatry & Neurology 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 2007-05-04
1336268572 Laura Jane Follett-larson Physician Assistant 5775 Wayzata Blvd Ste 255, Minneapolis, MN 55416-1275 2007-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
Find all providers in zip 55416

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City MINNEAPOLIS
Zip Code 55416

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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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