Organization Active NPI

Adefris & Toppin Women'S Specialists,MDPC

  • Obstetrics & Gynecology Physician
  • Woodbury, MN
National Provider Identifier
1003821877
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on May 15, 2020

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
909658200MedicaidMN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.