Active NPI
Hematology-Oncology Associates of Eastern Idaho, PLLC
- Medical Specialty Clinic/Center
- Saint Paul, MN
National Provider Identifier
1144309253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- HEMATOLOGY-ONCOLOGY ASSOCIATES OF EASTERN IDAHO, PLLC
- Practice address
- 2008 Laurel Ave
Saint Paul, MN 55104-5808 - Phone
- (651) 414-0971
- NPI assigned
- Nov 2, 2006
- 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
- Kevin Patrick Mulvey, MD
- Title
- Owner
- Phone
- (651) 414-0971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
2008 Laurel Ave
Saint Paul, MN 55104-5808
Mailing address
2008 Laurel Ave
Saint Paul, MN 55104-5808
Phone (651) 414-0971
Other names 1
- Kevin P. Mulvey
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1144309253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 LAUREL AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045808",
"telephone_number": "651-414-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 LAUREL AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551045808",
"telephone_number": "651-414-0971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEMATOLOGY-ONCOLOGY ASSOCIATES OF EASTERN IDAHO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "MULVEY",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-414-0971",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kevin P. Mulvey",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.