ALICIA M. TEAGARDEN D.O. – NPI #1407148356
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

ALICIA TEAGARDEN is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1407148356 to ALICIA TEAGARDEN on May 11, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name ALICIA GRANOS. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 8 years ago on Aug 07, 2018. 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 ALICIA TEAGARDEN below.

NPI Profile for
ALICIA M. TEAGARDEN

NPI Number
1407148356
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ALICIA M. TEAGARDEN
Former Name: ALICIA GRANOS
Credentials
D.O.
Primary location
2530 CHICAGO AVE STE 400
MINNEAPOLIS, MN 55404
Phone: (612) 813-3300 Fax: (612) 813-3349
1 Other location(s):
705 Riley Hospital Dr
RI 4900
Indianapolis, IN 46202-5109
Phone: (317) 948-7128
Fax: (317) 944-3442
Mailing address
Same as primary location
Sole Proprietor
No
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
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
MN 63503

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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