NPIMap

Organization Active NPI

Physical and Occupational Medicine Associates, PA

  • Medical Specialty Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1023070554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
28205 Issued in MN
Legal business name
PHYSICAL AND OCCUPATIONAL MEDICINE ASSOCIATES, PA
Practice address
3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531
Phone
(952) 922-2012
Fax
(952) 922-2013
NPI assigned
Apr 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Galin Sandness, MDNPI 1518929652
Title
President
Phone
(952) 922-2012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 28205 MN Primary

Addresses

Primary practice location

3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531

Mailing address

3601 Park Center Blvd
Suite 311
St Louis Park, MN 55416-2531
Phone (952) 922-2012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023070554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD",
            "address_2": "SUITE 311",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162531",
            "telephone_number": "952-922-2012",
            "fax_number": "952-922-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PARK CENTER BLVD",
            "address_2": "SUITE 311",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162531",
            "telephone_number": "952-922-2012",
            "fax_number": "952-922-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL AND OCCUPATIONAL MEDICINE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDNESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GALIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-922-2012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "28205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.