Organization Active NPI

Hematology-Oncology Associates of Eastern Idaho, PLLC

  • Medical Specialty Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1144309253
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Jan 10, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.