Organization Active NPI

The Institute for Exercise Medicine and Prevention

  • General Practice Physician
  • Saint Paul, MN
National Provider Identifier
1063659647
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33524 Issued in MN
Legal business name
THE INSTITUTE FOR EXERCISE MEDICINE AND PREVENTION
Practice address
2935 Country Dr
Suite 103
Saint Paul, MN 55117-1183
Phone
(651) 605-2320
NPI assigned
Jan 19, 2009
Last updated
Jan 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Cynthia Lynn Garr, M.D.NPI 1912987900
Title
Ceo
Phone
(651) 605-2320

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
General Practice Physician 208D00000X 33524 MN Primary

Addresses

Primary practice location

2935 Country Dr
Suite 103
Saint Paul, MN 55117-1183

Mailing address

2935 Country Dr
Suite 103
Saint Paul, MN 55117-1183
Phone (651) 605-2320

National Provider Directory

National Provider Directory

Locations

1045 Westgate Dr
Ste 100
Saint Paul, MN 55114
Phone (651) 605-2320

2935 Country Dr
Ste 103
Saint Paul, MN 55117
Phone (651) 605-2320

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1063659647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 COUNTRY DR",
            "address_2": "SUITE 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551171183",
            "telephone_number": "651-605-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 COUNTRY DR",
            "address_2": "SUITE 103",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551171183",
            "telephone_number": "651-605-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR EXERCISE MEDICINE AND PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "GARR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-605-2320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "33524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.