ENDOURA EFFECT PLLC NPI 1649162413

NPI Information

  • NPI: 1649162413
  • Provider Name: ENDOURA EFFECT, PLLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1099 HELMO AVE N STE 230
    OAKDALE, MN
    ZIP 55128
  • Phone: (651) 243-0625

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NPI Details

ENDOURA EFFECT, PLLC is a medical specialty clinic center in Oakdale, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ENDOURA EFFECT, PLLC NPI is 1649162413. The provider is registered as an organization entity type.

The provider's business location address is:

1099 HELMO AVE N STE 230
OAKDALE, MN
ZIP 55128-037
Phone: (651) 243-0625
Fax: (855) 462-3105

The provider's authorized official is Jillian Simon .
The authorized official title is Ceo and has the following contact phone number (651) 491-4946.

The enumeration date for this NPI number is 7/16/2025 and was last updated on 7/16/2025.

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
1261QP2300XClinic/CenterPrimary CareNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QM2500XClinic/CenterMedical SpecialtyYes

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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