Active NPI
Minneapolis Radiation Oncology PA
- Radiation Oncology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 951
- Legal business name
- MINNEAPOLIS RADIATION ONCOLOGY PA
- Practice address
- 7401 Metro Blvd Ste 210
Edina, MN 55439 - Phone
- (952) 920-4915
- Fax
- (952) 915-6091
- NPI assigned
- Sep 2, 2005
- Last updated
- Nov 28, 2023
- 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
- Patricia Jeanne Pfoser
- Title
- Cfo
- Phone
- (952) 920-4915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 951 | MN | Primary |
Addresses
Primary practice location
7401 Metro Blvd Ste 210
Edina, MN 55439
Mailing address
7401 Metro Blvd Ste 210
Edina, MN 55439-3086
Phone (952) 920-4915
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11640MI | Other | MN | BLUE CROSS/BLUE SHIELD |
| 805212300 | Medicaid | MN | |
| 32721200 | Medicaid | WI | |
| 102376 | Other | MN | UCARE |
| 24-0004 | Other | MN | MEDICA PRIMARY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
215 Ivy St
Brainerd, MN 56401
Phone (218) 828-7585
11850 Blackfoot St NW
Ste 150
Coon Rapids, MN 55433
Phone (763) 433-0221
4030 Coon Rapids Blvd NW
Coon Rapids, MN 55433
Phone (763) 433-0221
601 24th Ave S
Minneapolis, MN 55454
Phone (612) 332-7508
7401 Metro Blvd
Ste 210
Minneapolis, MN 55439
Phone (952) 920-4915
3366 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5281
1475 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2031
560 S Maple St
Ste 10
Waconia, MN 55387
Phone (952) 442-6000
501 Hospital Rd
New Richmond, WI 54017
Phone (715) 243-2950
Practitioners & affiliated clinicians
Practitioners 37
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Brainerd, MN
- NPI 1770526188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701129600000",
"number": "1043204233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 METRO BLVD STE 210",
"city": "EDINA",
"state": "MN",
"postal_code": "554393086",
"telephone_number": "952-920-4915",
"fax_number": "952-915-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 METRO BLVD STE 210",
"city": "EDINA",
"state": "MN",
"postal_code": "55439",
"telephone_number": "952-920-4915",
"fax_number": "952-915-6091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNEAPOLIS RADIATION ONCOLOGY PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A",
"authorized_official_last_name": "PFOSER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "JEANNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "952-920-4915"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MN",
"license": "951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "11640MI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805212300",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32721200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "102376",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "24-0004",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
- Teresa D Minet
- Tyler Mingo, MD
- Minneapolis Endoscopy ASC LLC (Gastrointestinal Diagnostic Center - South)
- Minneapolis Endoscopy Center ASC LLC (Gastrointestinal Diagnostic Center)
- Minneapolis Otolaryngology PA
- Minneapolis Seniors PC
- Minneapolis Southwest Mental Health Clinic, Limited
- Minneapolis Surgical Ctr Anesthesiologists
- Minnesota Allergy & Asthma LLC
- Minnesota Anesthesia Specialty Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.