Active NPI
Vituity-Minnesota, LLC
- Internal Medicine Physician
- West St Paul, MN
National Provider Identifier
1083367940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VITUITY-MINNESOTA, LLC
- Practice address
- 2000 Oakdale Ave
West St Paul, MN 55118-4662 - Phone
- (651) 554-9500
- NPI assigned
- Feb 1, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David Birdsall, M.D.
- Title
- President
- Phone
- (510) 851-7552
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Walnut Creek, CA
- NPI 1164445615
National Provider Directory
National Provider DirectoryLocations
2000 Oakdale Ave
West St Paul, MN 55118
Phone (651) 451-1821
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2000 Oakdale Ave
West St Paul, MN 55118-4662
Mailing address
2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2022.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643673600000",
"number": "1083367940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081872",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OAKDALE AVE",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551184662",
"telephone_number": "651-554-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITUITY-MINNESOTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-851-7552",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.