Active NPI
Douglas Mark Fincham, HIS
- Specialist
- Edina, MN
National Provider Identifier
1366437063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2604
- Practice address
- 5201 Eden Ave
Suite 130
Edina, MN 55436-2316 - Phone
- (952) 929-2068
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2604 | MN | Primary |
Addresses
Primary practice location
5201 Eden Ave
Suite 130
Edina, MN 55436-2316
Mailing address
5201 Eden Ave
Suite 130
Edina, MN 55436-2316
Phone (952) 929-2068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2604 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On-Site Hearing Services, Inc. | Specialist | Past | Accepting new patients |
| On-Site Podiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Edina, MN
- NPI 1811029028
-
- Foot & Ankle Surgery Podiatrist
- Coon Rapids, MN
- NPI 1811396393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366437063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 EDEN AVE",
"address_2": "SUITE 130",
"city": "EDINA",
"state": "MN",
"postal_code": "554362316",
"telephone_number": "952-929-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 EDEN AVE",
"address_2": "SUITE 130",
"city": "EDINA",
"state": "MN",
"postal_code": "554362316",
"telephone_number": "952-929-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCHAM",
"first_name": "DOUGLAS",
"middle_name": "MARK",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "2604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.