DR. AMY SUE HENTGES M.D. NPI 1245293323

NPI Information

NPI: 1245293323
Provider Name: DR. AMY SUE HENTGES, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
11269 JEFFERSON HWY N
CHAMPLIN, MN
ZIP 55316
Phone: (763) 236-0600
Get Directions

DR. Amy Sue Hentges, M.D. is a pediatrics in Champlin, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Amy Sue Hentges, M.D. NPI is 1245293323. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11269 JEFFERSON HWY N
CHAMPLIN, MN
ZIP 55316-123
Phone: (763) 236-0600

The NPI 1245293323 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 4/10/2006 and was last updated on 3/11/2021.

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	208000000X	Pediatrics		46204	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	6607779	OTHER	MINNESOTA	MEDICA UC
2	206031100	MEDICAID	MINNESOTA
3	7069631	OTHER	MINNESOTA	AETNA
4	2156416	OTHER	MINNESOTA	AMERICA'S PPO
5	833S9HE	OTHER	MINNESOTA	BCBS OF MN
6	132025	OTHER	MINNESOTA	UCARE MN
7	1041310	OTHER	MINNESOTA	PREFERRED ONE
8	1202907	OTHER	MINNESOTA	MEDICA
9	HP42393	OTHER	MINNESOTA	HEALTHPARTNERS

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: 5/5/2024

NPI Synchronization or Removal

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