Corban Health Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CORBAN HEALTH CARE, PLLC

Practice address

5141 36TH Ave S
Minneapolis, MN 55417-1518

Phone

(612) 644-9047

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Connie Marie Carleen, M.D.

Title

Sole Owner/Manager

Phone

(612) 644-9047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1013226844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171518",
            "telephone_number": "612-644-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171518",
            "telephone_number": "612-644-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBAN HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "CARLEEN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE OWNER/MANAGER",
        "authorized_official_telephone_number": "612-644-9047",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trelawney Elizabeth Morgan Copley-Smith, MA, LMFT
• Heidi Marie Coplin, MD
• Jerin C Coppenger, CRNA
• Catherine Coppersmith, PT, DPT
• Daniel Copperud, PHARM-D
• Maryellen Elizabeth Corbeil, CPM, LM, CD(DONA)
• Joan Bilinkoff Corbett, LICSW
• Kristin Marie Corbett
• Lisa M. Corbett, M.D.
• Breanna Corcoran

• Family Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.