Individual provider Active NPI

Mary Delling McLaurin, MD

  • Cardiovascular Disease Physician
  • Minneapolis, MN
National Provider Identifier
1003879917
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34896 Issued in MN
Practice address
3300 Oakdale Ave N
#200
Minneapolis, MN 55422-2926
Phone
(763) 520-2001
Fax
(763) 520-5190
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34896 MN Primary

Addresses

Primary practice location

3300 Oakdale Ave N
#200
Minneapolis, MN 55422-2926

Mailing address

3300 Oakdale Ave N
#200
Minneapolis, MN 55422-2926
Phone (763) 520-2001

Other identifiers 1

IdentifierTypeStateIssuer
785517600MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050504000060 MN Practitioner - Cardiovascular Disease (Cardiology) 4587563648 Reassigns benefits to 1 organization
I20050531000971 WI Practitioner - Cardiovascular Disease (Cardiology) 4587563648 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34896MNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Westfields Hospital, Inc. Current Accepting new patients
Westfields Hospital, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 9, 2017 Accepting new patients
Group Health, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Group Health, Inc. CurrentSince Feb 11, 2017 Accepting new patients
Cardiovascular Consultants, LTD. Cardiovascular Disease PastSince Jan 1, 2007 Accepting new patients

Locations

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425

3300 Oakdale Ave N
#200
Robbinsdale, MN 55422
Phone (763) 520-2001

3300 Oakdale Ave N
Ste 200
Robbinsdale, MN 55422
Phone (763) 520-2000

3366 Oakdale Ave N
Ste 550
Robbinsdale, MN 55422
Phone (763) 520-2050

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

1500 Curve Crest Blvd W
Stillwater, MN 55082

411 Stageline Rd
#200
Hudson, WI 54016
Phone (715) 531-6700

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1003879917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "address_2": "#200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-520-2001",
            "fax_number": "763-520-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "address_2": "#200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-520-2001",
            "fax_number": "763-520-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "MARY",
        "middle_name": "DELLING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "34896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "785517600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.