MENDAKOTA PEDIATRICS LTD – NPI #1497739320
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MENDAKOTA PEDIATRICS LTD is a provider located in WEST SAINT PAUL, MN. NPPES has assigned the NPI number 1497739320 to MENDAKOTA PEDIATRICS LTD on December 05, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 MENDAKOTA PEDIATRICS LTD below.

NPI Profile for
MENDAKOTA PEDIATRICS LTD

NPI Number
1497739320
Enumeration Date

(more than 20 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
MENDAKOTA PEDIATRICS LTD
Primary location
1880 LIVINGSTON AVENUE
SUITE 102
WEST SAINT PAUL, MN 55118
Phone: (651) 552-7999 Fax: (651) 552-0777
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER GOBEL
PRESIDENT
Phone: (651) 552-7999
Updated
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
208000000X
- Pediatrics (Primary)
MN 31085

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.