Northland Cardiology, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTHLAND CARDIOLOGY, PA

Practice address

7101 Northland Cir N
Suite 209
Brooklyn Park, MN 55428-1517

Phone

(763) 531-2030

Fax

(763) 531-2099

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Fouad George Azzam, M.D.

Title

President

Phone

(763) 531-2030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346345337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 NORTHLAND CIR N",
            "address_2": "SUITE 209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281517",
            "telephone_number": "763-531-2030",
            "fax_number": "763-531-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NORTHLAND CIR N",
            "address_2": "SUITE 209",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281517",
            "telephone_number": "763-531-2030",
            "fax_number": "763-531-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND CARDIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-531-2030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Benjamin Nordstrom, PHARMD
• North Clinic, PA
• North Clinic, PA
• North Metro Orthotics and Prosthetics Inc
• Northern Transit
• Northstar Residential Care Inc.
• Northwest MRI Center
• Novacare Outpatient Rehabilitation East Inc
• Nurtura Home Health LLC
• Nurturing Minds Therapy Center L.L.C.

• Cardiovascular Disease Physician in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Cardiovascular Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.