JAMES HAZELWOOD SOMERVILLE M.D. NPI 1740394212

NPI Information

NPI: 1740394212
Provider Name: JAMES HAZELWOOD SOMERVILLE, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
6363 FRANCE AVE S
SUITE 400
EDINA, MN
ZIP 55435
Phone: (952) 920-2070
Get Directions

James Hazelwood Somerville, M.D. is a nephrology internal medicine in Edina, MN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. James Hazelwood Somerville, M.D. NPI is 1740394212. 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:

6363 FRANCE AVE S
SUITE 400
EDINA, MN
ZIP 55435-129
Phone: (952) 920-2070
Fax: (952) 920-7444

The NPI 1740394212 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 8/19/2006 and was last updated on 12/3/2007.

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	207RN0300X	Internal Medicine	Nephrology	23088	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	21972	OTHER	MINNESOTA	FHP
2	0734009	OTHER	MINNESOTA	PREFERREDONE
3	3180156	OTHER	MINNESOTA	MEDICA PRIMARY
4	30724900	OTHER	WISCONSIN	WISCONSIN MA
5	HP14442	OTHER	MINNESOTA	HEALTHPARTNERS
6	34Q11SO	OTHER	MINNESOTA	BCBS
7	3102278	OTHER	MINNESOTA	PHP
8	A96508	MEDICARE UPIN	MINNESOTA

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

NPI Synchronization or Removal

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