Organization Active NPI

Hennepin Faculty Associates

  • General Practice Physician
  • Minneapolis, MN
National Provider Identifier
1063459485
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HENNEPIN FACULTY ASSOCIATES
Practice address
914 S 8TH St
S4
Minneapolis, MN 55404-1210
Phone
(612) 347-6450
NPI assigned
Jun 2, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Lawrence R Fosbury
Title
President
Phone
(612) 347-5109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

914 S 8TH St
S4
Minneapolis, MN 55404-1210

Mailing address

914 S 8TH St
S600
Minneapolis, MN 55404-1210

Other identifiers 1

IdentifierTypeStateIssuer
142712100MedicaidMN

National Provider Directory

National Provider Directory

Locations

120 S 6th St
Ste 155
Minneapolis, MN 55402
Phone (612) 347-7228

701 Park Ave
#P5
Minneapolis, MN 55415
Phone (612) 873-2300

701 Park Ave
#P7
Minneapolis, MN 55415
Phone (612) 873-2300

701 Park Ave
Ste R1
Minneapolis, MN 55415

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

914 S 8th St
#C47532
Minneapolis, MN 55404

914 S 8th St
#S4
Minneapolis, MN 55404
Phone (612) 347-6450

914 S 8th St
Ste D4
Minneapolis, MN 55404
Phone (612) 347-3744

3950 Veterans Dr
Ste 100
Saint Cloud, MN 56303
Phone (320) 252-3611

Practitioners & affiliated clinicians

Practitioners 204

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.

View all 204

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1063459485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S 8TH ST",
            "address_2": "S600",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 8TH ST",
            "address_2": "S4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041210",
            "telephone_number": "612-347-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEPIN FACULTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "FOSBURY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-347-5109"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142712100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.