TODD M OFFICER MD NPI 1114972221

NPI Information

NPI: 1114972221
Provider Name: TODD M OFFICER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
705 PLEASANT AVE S
PARK RAPIDS, MN
ZIP 56470
Phone: (218) 732-2800
Get Directions

Todd M Officer, MD is a family medicine in Park Rapids, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Todd M Officer, MD NPI is 1114972221. 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:

705 PLEASANT AVE S
PARK RAPIDS, MN
ZIP 56470-440
Phone: (218) 732-2800
Fax: (218) 732-2874

The NPI 1114972221 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 5/24/2006 and was last updated on 10/18/2011.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	TP-104372	MINNESOTA	No
2	207Q00000X	Family Medicine	RL-0437	SOUTH DAKOTA	No
3	207Q00000X	Family Medicine	52316	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	RES000	MEDICARE UPIN
2	5612803	MEDICAID	SOUTH DAKOTA
3	5612802	MEDICAID	SOUTH DAKOTA
4	S101980	MEDICARE PIN	SOUTH DAKOTA
5	4992652	OTHER	SOUTH DAKOTA	WELLMARK
6	4994117	OTHER	SOUTH DAKOTA	WELLMARK
7	10946	MEDICARE PIN	NORTH DAKOTA
8	S102076	MEDICARE PIN	SOUTH DAKOTA
9	7038	OTHER	SOUTH DAKOTA	DAKOTACARE
10	492921	OTHER	SOUTH DAKOTA	WELLMARK
11	P00463249	OTHER	SOUTH DAKOTA	RR MEDICARE
12	5612800	MEDICAID	SOUTH DAKOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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