Active NPI
Steady State Medicine, LLC
- Addiction Medicine (Family Medicine) Physician
- Minneapolis, MN
National Provider Identifier
1104145978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 1782
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 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 DirectoryLocations
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.