ROBERT A VENNERSTROM MD NPI 1437250800

NPI Information

NPI: 1437250800
Provider Name: ROBERT A VENNERSTROM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537
Phone: (218) 736-8000
Get Directions

Robert A Vennerstrom, MD is a family medicine in Fergus Falls, 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. Robert A Vennerstrom, MD NPI is 1437250800. 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:

712 SOUTH CASCADE STREET
FERGUS FALLS, MN
ZIP 56537-813
Phone: (218) 736-8000
Fax: (218) 739-6742

The NPI 1437250800 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 9/26/2006 and was last updated on 2/16/2017.

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	207Q00000X	Family Medicine		33413	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	41091744413	MEDICAID	NEBRASKA
2	079004570	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICAREFFMG
3	200383400A	MEDICAID	INDIANA
4	80532VE	OTHER	MINNESOTA	BCBS
5	E72927	MEDICARE UPIN
6	093007500	MEDICAID	MINNESOTA
7	1008800	OTHER	MINNESOTA	PREFERREDONE
8	E72927	MEDICARE UPIN	MINNESOTA
9	089004592	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICAREWRC
10	HP27402	OTHER	MINNESOTA	HEALTHPARTNERS
11	109371	OTHER	MINNESOTA	UCAREMN
12	232419	MEDICAID	OREGON
13	01-00794	OTHER	MINNESOTA	MEDICAFFMG&WRC
14	01-14533	OTHER	MINNESOTA	MEDICABLC
15	806646400	MEDICAID	IDAHO

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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