Active NPI
Ronald Richard Vessey
- Medical Specialty Clinic/Center
- Minneapolis, MN
National Provider Identifier
1235164856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 20835
- Practice address
- 825 Nicollet Mall Ste 411
Minneapolis, MN 55402-2611 - Phone
- (612) 333-0333
- Fax
- (612) 677-1338
- NPI assigned
- Jul 12, 2006
- Last updated
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 20835 | MN | Primary |
Addresses
Primary practice location
825 Nicollet Mall Ste 411
Minneapolis, MN 55402-2611
Mailing address
825 Nicollet Mall Ste 411
Minneapolis, MN 55402-2611
Phone (612) 333-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20835 | MN | MD | Medical Specialty Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1235164856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL STE 411",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022611",
"telephone_number": "612-333-0333",
"fax_number": "612-677-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL STE 411",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022611",
"telephone_number": "612-333-0333",
"fax_number": "612-677-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESSEY",
"first_name": "RONALD",
"middle_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MN",
"license": "20835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.