DOUGLAS TATE M.D. NPI 1659395283

NPI Information

NPI: 1659395283
Provider Name: DOUGLAS TATE, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
6545 FRANCE AVE S
SUITE 400
EDINA, MN
ZIP 55435
Phone: (952) 920-9191
Get Directions

Douglas Tate, M.D. is an adolescent medicine pediatrics in Edina, MN. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Douglas Tate, M.D. NPI is 1659395283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6545 FRANCE AVE S
SUITE 400
EDINA, MN
ZIP 55435-131
Phone: (952) 920-9191
Fax: (952) 920-0232

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/8/2007.

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	2080A0000X	Pediatrics	Adolescent Medicine	26159	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	1202983	OTHER		MEDICA
2	17682TA	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
3	CP9020830005	OTHER		PREFERRED ONE
4	F46848	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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