Arise Family Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARISE FAMILY MEDICAL PLLC

Practice address

7447 Egan Dr Ste 207
Savage, MN 55378-3301

Phone

(763) 381-5607

NPI assigned

Feb 1, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nana Wilmot-Desouza, MDNPI 1396009247

Title

Founder

Phone

(512) 773-4524

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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.

• Nana A Wilmot-Desouza, M.D

  • Family Medicine Physician
  • Apple Valley, MN
  • NPI 1396009247
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1376306464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 FRANKLIN TRL SE STE 501",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 EGAN DR STE 207",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783301",
            "telephone_number": "763-381-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WILMOT-DESOUZA",
        "authorized_official_first_name": "NANA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "512-773-4524",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Basheer Mohamed Anwar
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• Arise Wound Institute PLLC
• Arne J. Benson, D.C., P.a.
• Neel Arora, PHARM.D.
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• Katie Ask, MDT

• Family Medicine Physician in Savage, MN
• Providers in Savage, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.