Randall S. Vollertsen MD. Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

22501 Issued in MN

Legal business name

RANDALL S. VOLLERTSEN MD. INC

Doing business as

MDCare

Practice address

4729 County Road 101
Minnetonka, MN 55345-2634

Phone

(952) 974-3200

Fax

(952) 974-3201

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Muchow

Title

Manager

Phone

(952) 974-3200

Specialties & licenses 1

Addresses

Other names 1

• MDCare Doing business as

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396818613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 COUNTY ROAD 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452634",
            "telephone_number": "952-974-3200",
            "fax_number": "952-974-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 COUNTY ROAD 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553452634",
            "telephone_number": "952-974-3200",
            "fax_number": "952-974-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL S. VOLLERTSEN MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCHOW",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "952-974-3200"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "22501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannan Abdirizak Rage
• Maria Cecilia Ragsdale, NPC
• Srihari Raju, MD
• Jean Ramlow, LICSW
• Kalina Ranallo
• Tara Randolph, PNP
• Tami Lynn Rathai, CMT
• Harshitha Ravva
• Sonja Sunny Ray, C.C.N., L.N., C.T.N.
• Rayma Health PLLC

• Rheumatology Physician in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Rheumatology 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.