Infectious Diseases-Minneapolis-LTD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

834 Issued in MN

Legal business name

INFECTIOUS DISEASES-MINNEAPOLIS-LTD

Practice address

5700 Bottineau Boulevard
Suite 270
Minneapolis, MN 55429-3183

Phone

(763) 520-4320

Fax

(763) 520-7055

NPI assigned

Sep 20, 2006

Last updated

May 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian Gerald Schrock, M.D.NPI 1467546549

Title

President

Phone

(763) 520-4320

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Christian Gerald Schrock, MD

  • Infectious Disease Physician
  • Minneapolis, MN
  • NPI 1467546549
  Authorized official Same address or phone
• Carmen Jean Jacobson, P.A.-C

  • Medical Physician Assistant
  • Saint Paul, MN
  • NPI 1063510550
  NPD (past)
• Trisha Ranee Shamp, PA-C, PHD

  • Medical Physician Assistant
  • Minneapolis, MN
  • NPI 1811190226
  NPD (past)
• Sara R Longobardi, PA-C

  • Physician Assistant
  • Bozeman, MT
  • NPI 1427241389
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1184722464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD",
            "address_2": "SUITE 270",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293183",
            "telephone_number": "763-520-4320",
            "fax_number": "763-520-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BOULEVARD",
            "address_2": "SUITE 270",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293183",
            "telephone_number": "763-520-4320",
            "fax_number": "763-520-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES-MINNEAPOLIS-LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHROCK",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-520-4320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MN",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Health Board of Minneapolis, Inc
• Indian Health Board of Minneapolis, Inc Anishinabe
• Indigenous Peoples Task Force
• Indigo Solutions, LLC
• Infectious Disease Associates, PLLC
• Infinate Therapy LLC
• Infinite Health Collaborative, PA
• Infinite Health Collaborative, PA
• Infinite Health Collaborative, PA
• Infinite Health Collaborative, PA

• Infectious Disease Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Infectious Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.