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JEFFREY THOMAS HUMBERT MD NPI 1760473615


NPI Information

NPI: 1760473615
Provider Name: JEFFREY THOMAS HUMBERT, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
111 HUNDERTMARK RD STE 420
CHASKA, MN
ZIP 55318
Phone: (952) 448-3847
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Jeffrey Thomas Humbert, MD is a pediatrics in Chaska, 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. Jeffrey Thomas Humbert, MD NPI is 1760473615. 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:

111 HUNDERTMARK RD STE 420
CHASKA, MN
ZIP 55318-459
Phone: (952) 448-3847
Fax: (952) 448-5083

The NPI 1760473615 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 10/31/2005 and was last updated on 10/5/2017.


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
1208000000XPediatrics45232MINNESOTAYes

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
1HP41441OTHERHEALTH PARTNERS
22121658OTHERARAZ GROUP AMERICAS PPO
31202922OTHERMEDICA HEALTH PLANS
450A61CEOTHERBLUE CROSS BLUE SHIELD
5131391OTHERUCARE
6782673700OTHERMEDICAL ASSISTANCE
750A45CEOTHERBLUE CROSS BLUE SHIELD
8I17839MEDICARE UPIN
91040719OTHERPREFERRED ONE
10300K6HUOTHERBLUE CROSS BLUE SHIELD
11300K7HUOTHERBLUE CROSS BLUE SHIELD
12C02303MEDICARE ID-TYPE UNSPECIFIED
13370002912MEDICARE ID-TYPE UNSPECIFIED

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

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.