Active NPI
St. Paul Infectious Disease Associates, LTD.
- Infectious Disease Physician
- Saint Paul, MN
National Provider Identifier
1306996335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- ST. PAUL INFECTIOUS DISEASE ASSOCIATES, LTD.
- Practice address
- 1959 Sloan PL Ste 200
Saint Paul, MN 55117-2073 - Phone
- (651) 772-6235
- Fax
- (651) 772-6261
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn J. Halloran
- Title
- Clinic Administrator
- Phone
- (651) 772-6254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MN | Primary |
Addresses
Primary practice location
1959 Sloan PL Ste 200
Saint Paul, MN 55117-2073
Mailing address
1959 Sloan PL Ste 200
Saint Paul, MN 55117-2073
Phone (651) 772-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676363400 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
1959 Sloan Pl
Ste 200
Saint Paul, MN 55117
Phone (651) 772-6235
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- St Paul, MN
- NPI 1487611547
Infectious Disease
-
- Nephrology Physician
- St Paul, MN
- NPI 1013974336
-
- Physician Assistant
- Saint Paul, MN
- NPI 1659494235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1306996335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 SLOAN PL STE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172073",
"telephone_number": "651-772-6235",
"fax_number": "651-772-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 SLOAN PL STE 200",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172073",
"telephone_number": "651-772-6235",
"fax_number": "651-772-6261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. PAUL INFECTIOUS DISEASE ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "HALLORAN",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
"authorized_official_telephone_number": "651-772-6254",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "676363400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.