THEODORE C NAGEL MD NPI 1679676696

NPI Information

NPI: 1679676696
Provider Name: THEODORE C NAGEL, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
420 DELAWARE ST SE MMC395
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-3000
Get Directions

Theodore C Nagel, MD is an obstetrics gynecology in Minneapolis, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Theodore C Nagel, MD NPI is 1679676696. 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:

UNIVERSITY OF MINNESOTA PHYSICIANS
420 DELAWARE ST SE MMC395
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-3000

The NPI 1679676696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2006 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	207V00000X	Obstetrics & Gynecology		21382	MINNESOTA	Yes
2	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	21382	MINNESOTA	X

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	74-25180	OTHER	MINNESOTA	MEDICA CHOICE
2	7777470	MEDICAID	SOUTH DAKOTA
3	10387	MEDICAID	NORTH DAKOTA
4	0515817	MEDICAID	IOWA
5	0255503	OTHER	MINNESOTA	PREFERREDONE
6	100821	OTHER	MINNESOTA	UCARE
7	30199000	MEDICAID	WISCONSIN
8	1H938NA	OTHER	MINNESOTA	BCBS
9	HP14028	OTHER	MINNESOTA	HEALTH PARTNERS
10	74251181	OTHER	MINNESOTA	MEDICA PRIMARY
11	607393	OTHER	MINNESOTA	ARAZ PPO

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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