Edina Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

604 Issued in MN

Legal business name

EDINA FAMILY PHYSICIANS

Practice address

5301 Vernon Ave S
Edina, MN 55436-2303

Phone

(952) 925-2200

Fax

(952) 925-0335

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Mae Odell Cowles, BSM, MA

Title

Admininstrator

Phone

(952) 345-2210

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheldon R Burns, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1386674521
  NPD
• Barbara R Gamradt, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1861422008
  NPD
• Mumtaz Kazim, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1780612358
  NPD
• James A Rohde, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1962433185
  NPD
• Anthony E Smith, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1285665174
  NPD
• John T. Beecher, M.D.

  • Family Medicine Physician
  • Edina, MN
  • NPI 1164459418
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1144258849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VERNON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362303",
            "telephone_number": "952-925-2200",
            "fax_number": "952-925-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VERNON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362303",
            "telephone_number": "952-925-2200",
            "fax_number": "952-925-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ODELL COWLES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMININSTRATOR",
        "authorized_official_telephone_number": "952-345-2210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSM, MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148010300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edina Endodontics PLLC
• Edina Eye Clinic PA
• Edina Eye Physicians and Surgeons PA (Twin Cities Eye Consultants)
• Edina Family Chiropractic, LLC
• Edina Family Dental Assoc., P.a.
• Edina Medical Group, Inc.
• Edina Medical Supplies
• Edina Medical Supplies, Inc.
• Edina MN Ophthalmology ASC LLC (McCannel Eye Surgery)
• Edina MN Ophthalmology ASC LLC (McCannel Eye Surgery)

• Family Medicine Physician in Edina, MN
• Providers in Edina, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.