Provider Type Icon

DR. SANDRA HAGER ELIASON M.D. NPI 1720040405


NPI Information

NPI: 1720040405
Provider Name: DR. SANDRA HAGER ELIASON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-6099
Get Directions

DR. Sandra Hager Eliason, M.D. is a family medicine in Minneapolis, 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. DR. Sandra Hager Eliason, M.D. NPI is 1720040405. 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:

2450 RIVERSIDE AVE
MINNEAPOLIS, MN
ZIP 55454-450
Phone: (612) 273-6099
Fax: (612) 273-6461

The enumeration date for this NPI number is 4/6/2006 and was last updated on 6/8/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine26558MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1473003800MEDICAIDMINNESOTA
2A94225MEDICARE UPINMINNESOTA
3080001292MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
421529OTHERMINNESOTAAMERICA'S PPO
5080079424MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMEDICARE RR
66603848OTHERMINNESOTAMEDICA UC
708F21ELOTHERMINNESOTABCBS OF MN
80107538OTHERMINNESOTAMEDICA
90190013OTHERMINNESOTAPREFERRED ONE
10107288OTHERMINNESOTAUCARE MN
11HP19872OTHERMINNESOTAHEALTHPARTNERS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.