NPIMap

Organization Active NPI

St. Paul Heart Clinic, P.a.

  • Cardiovascular Disease Physician
  • Saint Paul, MN
National Provider Identifier
1215996137
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
645 Issued in MN
Legal business name
ST. PAUL HEART CLINIC, P.A.
Practice address
225 Smith Ave N
Ste 400
Saint Paul, MN 55102-2533
Phone
(651) 292-0616
NPI assigned
Mar 20, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Minde Marie Johnson
Title
Admin Assistant
Phone
(651) 726-2729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 645 MN Primary

Addresses

Primary practice location

225 Smith Ave N
Ste 400
Saint Paul, MN 55102-2533

Mailing address

225 Smith Ave N
Ste 500
Saint Paul, MN 55102-2533
Phone (651) 292-0616

National Provider Directory

National Provider Directory

Locations

3500 213TH St W
Farmington, MN 55024
Phone (651) 463-7181

1210 1st St W
Hastings, MN 55033
Phone (651) 438-1800

1285 Nininger Rd
Hastings, MN 55033
Phone (651) 480-4200

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

208 S Adams St
St Croix Fls, WI 54024
Phone (612) 437-1234

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1215996137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N",
            "address_2": "STE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022533",
            "telephone_number": "651-292-0616",
            "fax_number": "651-726-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SMITH AVE N",
            "address_2": "STE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022533",
            "telephone_number": "651-292-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL HEART CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MINDE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "651-726-2729"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2007; 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.