MINNESOTA ONCOLOGY HEMATOLOGY, PA – NPI #1376686774
Internal Medicine
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 is a provider located in MAPLEWOOD, MN. NPPES has assigned the NPI number 1376686774 to MINNESOTA ONCOLOGY HEMATOLOGY, PA on February 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 13 years ago on Sep 20, 2013. 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 MINNESOTA ONCOLOGY HEMATOLOGY, PA below.
NPI Profile for
MINNESOTA ONCOLOGY HEMATOLOGY, PA
(more than 19 years ago)
MAPLEWOOD, MN 55109-1127 Phone: (651) 779-7978 Fax: (651) 779-7656
PRESIDENT
Phone: (612) 884-6300
Identifiers for MINNESOTA ONCOLOGY HEMATOLOGY, PA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MN | 896027500 |
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 |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (Primary) |
MN | 1076 |
| 364S00000X - Clinical Nurse Specialist |
MN | 1076 |
| 363L00000X - Nurse Practitioner |
MN | 1076 |
| 363AS0400X - Physician Assistant / Surgical |
MN | 1076 |
| 363AM0700X - Physician Assistant / Medical |
MN | 1076 |
| 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) |
MN | 1076 |
| 2085R0001X - Radiology / Radiation Oncology |
MN | 1076 |
| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology |
MN | 1076 |
| 207RX0202X - Internal Medicine / Medical Oncology |
MN | 1076 |
| 207R00000X - Internal Medicine |
MN | 1076 |
| 170300000X - Genetic Counselor, MS |
MN | 1076 |
| 133V00000X - Dietitian, Registered |
MN | 1076 |
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.