Park Nicollet- Methodist Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

PARK NICOLLET- METHODIST HOSPITAL

Practice address

6500 Excelsior Blvd
St Louis Park, MN 55426-4702

Phone

(952) 993-3123

NPI assigned

Oct 8, 2010

Organization subpart

No

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

Authorized official

Name

Ted Spooner, MD

Title

CT Surgery

Phone

(952) 993-3123

Specialties & licenses 1

Addresses

Practitioners 1

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

• Teresa Mallow

  • Adult Health Nurse Practitioner
  • St Louis Park, MN
  • NPI 1396055851
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1104136142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 HIGHLAND PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "952-993-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK NICOLLET- METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CT SURGERY",
        "authorized_official_telephone_number": "952-993-3123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Nicollet Methodist Hospital
• Park Nicollet Methodist Hospital
• Park Nicollet Methodist Hospital
• Park Nicollet Methodist Hospital
• Park Nicollet Methodist Hospital
• Park Psychotherapy & Consulting Inc
• Gail Engasser Park, D.D.S.
• Parkdale Therapy Group, LLC
• Erin Devine Parker, M.T.
• Jeannie Rae Parker, M.S., CCC-SLP

• All providers in St Louis Park, MN
• General Acute Care Hospital in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.