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MINNESOTA ONCOLOGY HEMATOLOGY PA NPI 1528035995


NPI Information

NPI: 1528035995
Provider Name: MINNESOTA ONCOLOGY HEMATOLOGY, PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2550 UNIVERSITY AVE W
SUITE 110N
SAINT PAUL, MN
ZIP 55114
Phone: (651) 602-5335
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MINNESOTA ONCOLOGY HEMATOLOGY, PA is a hematology and oncology internal medicine in Saint Paul, MN. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MINNESOTA ONCOLOGY HEMATOLOGY, PA NPI is 1528035995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2550 UNIVERSITY AVE W
SUITE 110N
SAINT PAUL, MN
ZIP 55114-052
Phone: (651) 602-5335
Fax: (651) 665-9799

The provider's authorized official is Dean Gesme .
The authorized official title is President and has the following contact phone number (612) 884-6300.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 6/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, Registered1075MINNESOTANo
2170300000XGenetic Counselor, MS1076MINNESOTANo
3207R00000XInternal Medicine1076MINNESOTANo
4207RH0000XInternal MedicineHematology1076MINNESOTANo
5207RX0202XInternal MedicineMedical Oncology1076MINNESOTANo
6207VX0201XObstetrics & GynecologyGynecologic Oncology1076MINNESOTANo
72085R0001XRadiologyRadiation Oncology1076MINNESOTANo
8208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)1076MINNESOTANo
9332B00000XDurable Medical Equipment & Medical Supplies1076MINNESOTANo
10363AM0700XPhysician AssistantMedical1076MINNESOTANo
11363AS0400XPhysician AssistantSurgical1076MINNESOTANo
12363LA2200XNurse PractitionerAdult Health1076MINNESOTANo
13363LF0000XNurse PractitionerFamily1076MINNESOTANo
14363LG0600XNurse PractitionerGerontology1076MINNESOTANo
15207RH0003XInternal MedicineHematology & Oncology1076MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1896027500MEDICAIDMINNESOTA
2114502005MEDICARE NSCMINNESOTA
332881800MEDICAIDWISCONSIN
41145020007MEDICARE NSCMINNESOTA
5C01828MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAGROUP MEDICARE NUMBER
61145020008MEDICARE NSCMINNESOTA
71145020003MEDICARE NSCMINNESOTA
81145020002MEDICARE NSCMINNESOTA
91145020001MEDICARE NSCMINNESOTA
101145020009MEDICARE NSCMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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