Active NPI
Family Healthservices Minnesota, P.a.
- Family Medicine Physician
- Saint Paul, MN
National Provider Identifier
1124206677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1428
- Legal business name
- FAMILY HEALTHSERVICES MINNESOTA, P.A.
- Practice address
- 2025 Sloan PL
Suite 35
Saint Paul, MN 55117-2007 - Phone
- (651) 772-1572
- Fax
- (651) 772-1889
- NPI assigned
- Feb 7, 2008
- Last updated
- Oct 14, 2025
- 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
- Ken Palattao
- Title
- Cao
- Phone
- (651) 772-1572
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1428 | MN | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X |
Addresses
Primary practice location
2025 Sloan PL
Suite 35
Saint Paul, MN 55117-2007
Mailing address
2025 Sloan PL Ste 35
Saint Paul, MN 55117-2092
Phone (651) 772-1572
National Provider Directory
National Provider Directory- Tax ID family
- Entira Family Clinics
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Entira Family Clinics-East Side
- Family Medicine Physician
- Saint Paul, MN
- NPI 1174703805
-
dba Entira Family Clinics-Como/Roseville
- Family Medicine Physician
- Saint Paul, MN
- NPI 1629258355
Locations
2025 Sloan Pl
Ste 35
Saint Paul, MN 55117
Phone (651) 772-1572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1124206677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 SLOAN PL STE 35",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172092",
"telephone_number": "651-772-1572",
"fax_number": "651-772-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 SLOAN PL",
"address_2": "SUITE 35",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172007",
"telephone_number": "651-772-1572",
"fax_number": "651-772-1889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTHSERVICES MINNESOTA, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "PALATTAO",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "651-772-1572"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MN",
"license": "1428",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Family Healthservices Minnesota, P.a
- Family Healthservices Minnesota, P.a
- Family Healthservices Minnesota, P.a
- Family Healthservices Minnesota, P.a
- Family Healthservices Minnesota, P.a
- Family Healthservices Minnesota, P.a. (Entira Family Clinics-East Side)
- Family Healthservices Minnesota, P.a. (Entira Family Clinics-Highland)
- Family Healthservices Minnesota, P.a. (Entira Family Clinics-Como/Roseville)
- Family Homecare LLC (None)
- Family Homecare Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.