Active NPI
Adefris & Toppin Women'S Specialists,MDPC
- Obstetrics & Gynecology Physician
- Woodbury, MN
National Provider Identifier
1003821877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ADEFRIS & TOPPIN WOMEN'S SPECIALISTS,MDPC
- Practice address
- 215 Radio Drive
Suite 200
Woodbury, MN 55125-2298 - Phone
- (651) 686-6400
- Fax
- (651) 714-1264
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Patton Adefris, M.D.
- Title
- Ceo
- Phone
- (651) 686-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MN | Primary |
Addresses
Primary practice location
215 Radio Drive
Suite 200
Woodbury, MN 55125-2298
Mailing address
215 Radio Drive
Suite 200
Woodbury, MN 55125-2298
Phone (651) 686-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 909658200 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
11225 Ulysses St NE
Blaine, MN 55434
Phone (763) 302-2600
5601 96th Ave N
Ste 100
Brooklyn Park, MN 55443
Phone (763) 786-9543
1398 Lake St S
Ste 100
Forest Lake, MN 55025
Phone (651) 275-2700
17599 Kenwood Trl
Ste 200
Lakeville, MN 55044
215 Radio Dr
Ste 200
Woodbury, MN 55125
Phone (651) 686-6400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589500800000",
"number": "1003821877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 RADIO DRIVE",
"address_2": "SUITE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252298",
"telephone_number": "651-686-6400",
"fax_number": "651-714-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 RADIO DRIVE",
"address_2": "SUITE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252298",
"telephone_number": "651-686-6400",
"fax_number": "651-714-1264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADEFRIS & TOPPIN WOMEN'S SPECIALISTS,MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A",
"authorized_official_last_name": "ADEFRIS",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "PATTON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-686-6400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "909658200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.