North Suburban Urology of Coon Rapids, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

29898 Issued in MN

Legal business name

NORTH SUBURBAN UROLOGY OF COON RAPIDS, INC.

Practice address

3879 Coon Rapids Blvd
Coon Rapids, MN 55433

Phone

(763) 427-3668

Fax

(763) 427-5029

NPI assigned

Apr 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. George A Haikel, MD

Title

President

Phone

(763) 427-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brian A Vernon, MD

  • Orthopaedic Surgery of the Spine Physician
  • Providence, UT
  • NPI 1265639280
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1386969103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 COON RAPIDS BLVD",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-427-3668",
            "fax_number": "763-427-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 COON RAPIDS BLVD",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-427-3668",
            "fax_number": "763-427-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN UROLOGY OF COON RAPIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "HAIKEL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-427-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MN",
            "license": "29898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482780500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Suburban Chiropractic Clinic P.a.
• North Suburban Counseling Center
• North Suburban Counseling Ctr
• North Suburban Eye Specialists, LLP
• North Suburban Optical
• Northdale Dentist PA
• Northern OB GYN Associates PC
• Northern Pines Counseling Center, Inc.
• Northland Dental Partners, PLLC
• Northland Hearing Centers, Inc.

• Urology Physician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Urology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.