JAKUB TOLAR MD NPI 1962591974

NPI Information

NPI: 1962591974
Provider Name: JAKUB TOLAR, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
516 DELAWARE STREET SE
PWB 5TH FLOOR, STE 5-100 CLINIC 5B
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-2800
Get Directions

Jakub Tolar, MD is a pediatric hematology-oncology pediatrics in Minneapolis, MN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Jakub Tolar, MD NPI is 1962591974. 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 5TH FLOOR, STE 5-100 CLINIC 5B
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 273-2800

The NPI 1962591974 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 10/11/2006 and was last updated on 11/18/2016.

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		42278	MINNESOTA	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	42278	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	H45305	MEDICARE UPIN
2	0063240	MEDICAID	MONTANA
3	12-02535	OTHER	MINNESOTA	MEDICA CHOICE
4	1384114	OTHER	MICRONESIA	ARAZ
5	1028458	OTHER	MINNESOTA	PREFERRED ONE
6	131326	OTHER	MINNESOTA	FAIRVIEW
7	288656100	MEDICAID	MINNESOTA
8	12-09026	OTHER	MINNESOTA	MEDICA PRIMARY
9	HP33585	OTHER	MINNESOTA	HEALTH PARTNERS
10	140923	OTHER	MINNESOTA	UCARE

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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