GREATER MINNESOTA ALLERGY AND ASTHMA – NPI #1821815697
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

GREATER MINNESOTA ALLERGY AND ASTHMA is an allergy & immunologist located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1821815697 to GREATER MINNESOTA ALLERGY AND ASTHMA on September 23, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was last updated on Feb 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREATER MINNESOTA ALLERGY AND ASTHMA below.

NPI Profile for
GREATER MINNESOTA ALLERGY AND ASTHMA

NPI Number
1821815697
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREATER MINNESOTA ALLERGY AND ASTHMA
Other name(s)
All associated names:

Doing Business As (dba)
Greater Minnesota Allergy and Asthma, LLC
Primary location
1511 NORTHWAY DR STE 101
SAINT CLOUD, MN 56303-1262
Phone: (320) 654-8266 Fax: (320) 654-8481
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MINTO PORTER
OWNER
Phone: (320) 654-8266
Updated
Certification Date
Feb 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.