MARK RICHARD SCHLEISS MD NPI 1942382452

NPI Information

NPI: 1942382452
Provider Name: MARK RICHARD SCHLEISS, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
516 DELAWARE STREET SE
PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777
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Mark Richard Schleiss, MD is a pediatrics in Minneapolis, 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. Mark Richard Schleiss, MD NPI is 1942382452. 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:

516 DELAWARE STREET SE
PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777

The NPI 1942382452 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 10/20/2006 and was last updated on 4/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		47452	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	1043104	OTHER	MINNESOTA	PREFERRED ONE
2	E72411	MEDICARE UPIN
3	34522000	MEDICAID	WISCONSIN
4	2327061	OTHER	MINNESOTA	ARAZ/PPO
5	92-12094	OTHER	MINNESOTA	MEDICA PRIMARY
6	HP49830	OTHER	MINNESOTA	HEALTH PARTNERS
7	440000226	MEDICARE ID-TYPE UNSPECIFIED
8	132663	OTHER	MINNESOTA	UCARE
9	847935600	MEDICAID	MINNESOTA
10	2327064	OTHER	MINNESOTA	ARAZ
11	92-00185	OTHER	MINNESOTA	MEDICA CHOICE
12	0590810	MEDICAID	IOWA

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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