Organization Active NPI

Great Planes Reproductive Center, P.a.

  • Reproductive Endocrinology Physician
  • Maple Grove, MN
National Provider Identifier
1396976437
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
GREAT PLANES REPRODUCTIVE CENTER, P.A.
Practice address
12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073
Phone
(763) 494-7700
Fax
(763) 494-7706
NPI assigned
Aug 6, 2009
Last updated
Aug 6, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MIDWEST CENTER FOR REPRODUCTIVE HEALTH, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Dr. Randle S Corfman, PH.D, M.D.NPI 1649314584
Title
Medical Director/Owner
Phone
(763) 494-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073

Mailing address

12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073
Phone (763) 494-7700

National Provider Directory

National Provider Directory
Part of
Midwest Ctr for Reprod

Locations

12000 Elm Creek Blvd N
Ste 350
Maple Grove, MN 55369
Phone (763) 494-7700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1396976437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 350",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-494-7700",
            "fax_number": "763-494-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 350",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-494-7700",
            "fax_number": "763-494-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLANES REPRODUCTIVE CENTER, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MIDWEST CENTER FOR REPRODUCTIVE HEALTH, P.A.",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "CORFMAN",
        "authorized_official_first_name": "RANDLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "763-494-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.