JERRY A MOLITOR MD NPI 1235147331

NPI Information

NPI: 1235147331
Provider Name: JERRY A MOLITOR, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
516 DELAWARE STREET SE, CLINIC 6A
UMP MEDICINE SPECIALTIES CLINIC
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 884-0649
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Jerry A Molitor, MD is a rheumatology internal medicine in Minneapolis, MN with 31 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Jerry A Molitor, MD NPI is 1235147331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

516 DELAWARE STREET SE, CLINIC 6A
UMP MEDICINE SPECIALTIES CLINIC
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 884-0649

The NPI 1235147331 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 8/4/2006 and was last updated on 10/31/2012.

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	207RR0500X	Internal Medicine	Rheumatology	MD00035031	WASHINGTON	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	6118MO	OTHER	WASHINGTON	BLUE SHIELD
2	H06155	MEDICARE UPIN
3	8808801	MEDICARE PIN	WASHINGTON
4	805452300	OTHER	WASHINGTON	IDAHO MEDICAID
5	8808799	MEDICARE PIN	WASHINGTON
6	AB15678	MEDICARE PIN	WASHINGTON
7	0039583	OTHER	WASHINGTON	LABOR & INDUSTRY
8	660003069	OTHER		RAILROAD MEDICARE
9	MD9155W	OTHER	WASHINGTON	ALASKA MEDICAID
10	US2338018	OTHER	WASHINGTON	AETNA/USHC SPECIALIST
11	8256877	MEDICAID	WASHINGTON

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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