Organization Active NPI

Medstudio, PLLC

  • General Practice Physician
  • Minnetonka, MN
National Provider Identifier
1336677483
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MEDSTUDIO, PLLC
Practice address
130 Cheshire LN Ste 100
Minnetonka, MN 55305-1053
Phone
(952) 807-0415
NPI assigned
Jun 1, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Robert Sieman, DO
Title
Owner
Phone
(952) 807-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

130 Cheshire LN Ste 100
Minnetonka, MN 55305-1053

Mailing address

PO Box 308
Forest Lake, MN 55025-0308
Phone (952) 807-0415

Other practice location 1

7591 9th St N Ste 100
Oakdale, MN 55128-6626
Phone (952) 807-0415

National Provider Directory

National Provider Directory

Locations

130 Cheshire Ln
Ste 100
Minnetonka, MN 55305
Phone (952) 807-0415

7591 9th St N
#100
Oakdale, MN 55128
Phone (952) 807-0415

Practitioners & affiliated clinicians

Practitioners 3

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": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1336677483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550250308",
            "telephone_number": "952-807-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CHESHIRE LN STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051053",
            "telephone_number": "952-807-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7591 9th St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551286626",
            "country_code": "US",
            "telephone_number": "952-807-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDSTUDIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SIEMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-807-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.