MINNESOTA ONCOLOGY HEMATOLOGY PA NPI 1235498619

NPI Information

  • NPI: 1235498619
  • Provider Name: MINNESOTA ONCOLOGY HEMATOLOGY PA
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 2805 CAMPUS DR
    SUITE 105
    PLYMOUTH, MN
    ZIP 55441
  • Phone: (763) 519-7440

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NPI Details

MINNESOTA ONCOLOGY HEMATOLOGY PA is a hematology and oncology internal medicine in Plymouth, 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 1235498619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2805 CAMPUS DR
SUITE 105
PLYMOUTH, MN
ZIP 55441-676
Phone: (763) 519-7440
Fax: (763) 519-7445

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 5/7/2012 and was last updated on 12/20/2013.

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
1133V00000XDietitian, Registered1076MINNESOTANo
2170300000XGenetic Counselor, MS1076MINNESOTANo
3207R00000XInternal Medicine1076MINNESOTANo
4207RX0202XInternal MedicineMedical Oncology1076MINNESOTANo
5207VX0201XObstetrics & GynecologyGynecologic Oncology1076MINNESOTANo
62085R0001XRadiologyRadiation OncologyNo
7208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)1076MINNESOTANo
8363AM0700XPhysician AssistantMedical1076MINNESOTANo
9363AS0400XPhysician AssistantSurgical1076MINNESOTANo
10363L00000XNurse Practitioner1076MINNESOTANo
11364S00000XClinical Nurse Specialist1076MINNESOTANo
12207RH0003XInternal MedicineHematology & Oncology1076MINNESOTAYes

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: 3/30/2025

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