PJG Medical L.L.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PJG MEDICAL L.L.C.

Practice address

700 Raymond Ave Ste 130
Saint Paul, MN 55114-1778

Phone

(612) 895-1510

Fax

(833) 979-0945

NPI assigned

Sep 25, 2020

Last updated

Dec 16, 2021By 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

Philip Gyura, NPNPI 1679915706

Title

Owner

Phone

(507) 398-2481

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Philip Joseph Gyura, DNP, FNP-BC

  • Family Nurse Practitioner
  • Saint Paul, MN
  • NPI 1679915706
  Authorized official Same address or phone

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1285241075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAYMOND AVE STE 130",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141778",
            "telephone_number": "612-895-1510",
            "fax_number": "833-979-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAYMOND AVE STE 130",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141778",
            "telephone_number": "612-895-1510",
            "fax_number": "833-979-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJG MEDICAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "GYURA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-398-2481",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pgyura@gmail.com",
            "affiliation": "N",
            "address_1": "4029 23rd Ave S",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554073040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gavin T Pittman, M.D.
• John Everett Pittman, PHARM.D.
• Stephen P Pittman, LICSW
• Siwadon Pitukweerakul, M.D.
• Dawn Pivec
• PL Dental SC
• Planned Parenthood Minnesota, North Dakota, South Dakota
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• Plastic Surgery Associates, P.a.

• Health Service Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.