Organization Active NPI

Saint Paul Hyperbaric Oxygen Center, P.a

  • Clinic/Center
  • Roseville, MN
National Provider Identifier
1275000283
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAINT PAUL HYPERBARIC OXYGEN CENTER, P.A
Practice address
2151 Hamline Ave N Ste 111B
Roseville, MN 55113-4226
Phone
(612) 799-7833
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Dr. Jason John Wilson, DCNPI 1497874333
Title
Ceo
Phone
(612) 799-7833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2151 Hamline Ave N Ste 111B
Roseville, MN 55113-4226

Mailing address

2151 Hamline Ave N Ste 111B
Roseville, MN 55113-4226
Phone (612) 799-7833

National Provider Directory

National Provider Directory

Locations

2151 Hamline Ave N
Ste 111B
Roseville, MN 55113
Phone (612) 799-7833

Practitioners & affiliated clinicians

Practitioners 1

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1275000283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 HAMLINE AVE N STE 111B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134226",
            "telephone_number": "612-799-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 HAMLINE AVE N STE 111B",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134226",
            "telephone_number": "612-799-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PAUL HYPERBARIC OXYGEN CENTER, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-799-7833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.