Edina Physical Medicine Consultants, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

28937 Issued in MN

Legal business name

EDINA PHYSICAL MEDICINE CONSULTANTS, PA

Practice address

5001 American Blvd W
Ste 395
Bloomington, MN 55437-1108

Phone

(952) 922-2012

Fax

(952) 922-2013

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Todd Gunnar Holmes, MD

Title

President

Phone

(612) 940-8421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Galin Sandness, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • St Louis Park, MN
  • NPI 1518929652
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328313600000",
    "number": "1285967315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W",
            "address_2": "STE 395",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371108",
            "telephone_number": "952-922-2012",
            "fax_number": "952-922-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W",
            "address_2": "STE 395",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371108",
            "telephone_number": "952-922-2012",
            "fax_number": "952-922-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA PHYSICAL MEDICINE CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2012-02-04",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "GUNNAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-940-8421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "28937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Themistocles Peter Economou, M.D.
• Karly Edelen
• Eden Prairie Clinic, PA
• Edenwood Health LLC
• Anthony Victor Edholm, MD
• Isabella Grace Edling
• Amanda Edmonson
• Brian Edmonson
• Glenace Ecklund Edwall, PH.D., PSY.D.
• Edwards Ridecare Inc.

• Physical Medicine & Rehabilitation Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2012; 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.