MINNESOTA ONCOLOGY HEMATOLOGY PA NPI 1356585442

NPI Information

NPI: 1356585442
Provider Name: MINNESOTA ONCOLOGY HEMATOLOGY, PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
480 OSBORNE RD NE
SUITE 220
FRIDLEY, MN
ZIP 55432
Phone: (763) 786-1620
Get Directions

MINNESOTA ONCOLOGY HEMATOLOGY, PA is a hematology and oncology internal medicine in Fridley, 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 1356585442. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

480 OSBORNE RD NE
SUITE 220
FRIDLEY, MN
ZIP 55432
Phone: (763) 786-1620
Fax: (763) 780-3099

The provider's authorized official is Thomas P Flynn .
The authorized official title is President and has the following contact phone number (612) 863-8585.

The enumeration date for this NPI number is 4/21/2009 and was last updated on 10/7/2010.

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
1	207RX0202X	Internal Medicine	Medical Oncology	1076	MINNESOTA	No
2	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	1076	MINNESOTA	No
3	363L00000X	Nurse Practitioner		1076	MINNESOTA	No
4	207RH0003X	Internal Medicine	Hematology & Oncology	1076	MINNESOTA	Yes

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
1	C01828	OTHER	MINNESOTA	MEDICARE ID

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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