Paul a Ekberg DO PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PAUL A EKBERG DO PA

Practice address

333 Grand Ave
Suite 201
Saint Paul, MN 55102-2582

Phone

(651) 646-2654

Fax

(651) 645-0989

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

John Kerr

Title

Office Manager

Phone

(651) 646-2654

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Andrew Ekberg, DO

  • Psychiatry Physician
  • St Louis Park, MN
  • NPI 1477531960
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1386757813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "SUITE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022582",
            "telephone_number": "651-646-2654",
            "fax_number": "651-645-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "address_2": "SUITE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022582",
            "telephone_number": "651-646-2654",
            "fax_number": "651-645-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A EKBERG DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-646-2654"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Pattee, M.D.
• Sydney Lee Pattee, CNP
• Neve Laura Patterson
• Brian Dean Patty, MD
• Hilary Siegrist Patzer, MAOM, L.AC
• Paul G. Ruff, M.a., L.P., P.a.
• Lincy Mary Paul, DDS
• Cadance Paulaha, L.AC., DIPL.O.M,
• Danielle M Paulsen, PA-C
• Devon Elizabeth Paulsen, RD

• Psychiatry Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.