NPIMap

Organization Active NPI

Mark P Stesin MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Robbinsdale, MN
National Provider Identifier
1225187255
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
1250 Issued in MN
Legal business name
MARK P STESIN MD PA
Practice address
3366 Oakdale Ave N
Suite 408
Robbinsdale, MN 55422-2948
Phone
(763) 520-5876
Fax
(763) 520-1703
NPI assigned
Jan 9, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Mark Philip Stesin, MD
Title
President
Phone
(763) 520-5876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 1250 MN Primary

Addresses

Primary practice location

3366 Oakdale Ave N
Suite 408
Robbinsdale, MN 55422-2948

Mailing address

3366 Oakdale Ave N
Suite 408
Robbinsdale, MN 55422-2948
Phone (763) 520-5876

Other identifiers 4

IdentifierTypeStateIssuer
203001OtherMNPREFERRED ONE GROUP CODE
16877STOtherMNBLUE CROSS GROUP CODE
16877STOtherMNCOMPREHENSIVE CARE
DD1669OtherMNRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

920 E 28th St
#440
Minneapolis, MN 55407
Phone (612) 336-5000

3366 Oakdale Ave N
Ste 408
Robbinsdale, MN 55422
Phone (763) 520-5876

Practitioners & affiliated clinicians

Practitioners 7

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225187255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N",
            "address_2": "SUITE 408",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222948",
            "telephone_number": "763-520-5876",
            "fax_number": "763-520-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 OAKDALE AVE N",
            "address_2": "SUITE 408",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222948",
            "telephone_number": "763-520-5876",
            "fax_number": "763-520-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P STESIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STESIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-520-5876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MN",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE GROUP CODE",
            "identifier": "203001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP CODE",
            "identifier": "16877ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE CARE",
            "identifier": "16877ST",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD1669",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

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