MINNESOTA ONCOLOGY HEMATOLOGY PA NPI 1467595868

NPI Information

NPI: 1467595868
Provider Name: MINNESOTA ONCOLOGY HEMATOLOGY, PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
675 E NICOLLET BLVD STE 100
BURNSVILLE, MN
ZIP 55337
Phone: (952) 892-7190
Get Directions

MINNESOTA ONCOLOGY HEMATOLOGY, PA is a hematology and oncology internal medicine in Burnsville, 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 1467595868. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

675 E NICOLLET BLVD STE 100
BURNSVILLE, MN
ZIP 55337-749
Phone: (952) 892-7190
Fax: (952) 892-7956

The provider's authorized official is Dean Gesme .
The authorized official title is President and has the following contact phone number (612) 884-6300.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 1/9/2018.

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	133V00000X	Dietitian, Registered		1076	MINNESOTA	No
2	170300000X	Genetic Counselor, MS		1076	MINNESOTA	No
3	207R00000X	Internal Medicine		1076	MINNESOTA	No
4	207RH0003X	Internal Medicine	Hematology & Oncology	1076	MINNESOTA	Yes
5	207RX0202X	Internal Medicine	Medical Oncology	1076	MINNESOTA	No
6	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	1076	MINNESOTA	No
7	2085R0001X	Radiology	Radiation Oncology	1076	MINNESOTA	No
8	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		1076	MINNESOTA	No
9	363AM0700X	Physician Assistant	Medical	1076	MINNESOTA	No
10	363AS0400X	Physician Assistant	Surgical	1076	MINNESOTA	No
11	363L00000X	Nurse Practitioner		1076	MINNESOTA	No
12	364S00000X	Clinical Nurse Specialist		1076	MINNESOTA	No

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	896027500	MEDICAID	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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