Organization Active NPI

Steady State Medicine, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Minneapolis, MN
National Provider Identifier
1104145978
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
1782 Issued in MN
Legal business name
STEADY STATE MEDICINE, LLC
Practice address
4001 Stinson Blvd Ste 403
Minneapolis, MN 55421-3424
Phone
(612) 767-5966
Fax
(612) 706-9617
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Gerald R Werth, MD PHD
Title
Owner
Phone
(612) 767-5966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X 1782 MN Primary

Addresses

Primary practice location

4001 Stinson Blvd Ste 403
Minneapolis, MN 55421-3424

Mailing address

4001 Stinson Blvd Ste 403
Minneapolis, MN 55421-3424
Phone (612) 767-5966

National Provider Directory

National Provider Directory

Locations

4001 Stinson Blvd NE
Ste 403
Minneapolis, MN 55421
Phone (612) 767-5966

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1104145978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD STE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213424",
            "telephone_number": "612-767-5966",
            "fax_number": "612-706-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD STE 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213424",
            "telephone_number": "612-767-5966",
            "fax_number": "612-706-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEADY STATE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "WERTH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-767-5966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD  PHD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MN",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 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.