Great Planes Reproductive Center, P.a.

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

Organization subpart

Yes

Parent organization

THE MIDWEST CENTER FOR REPRODUCTIVE HEALTH, P.A.As reported in NPPES

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.

Title

Medical Director/Owner

Phone

(763) 494-7700

Specialties & licenses 1

Addresses

Other identifiers 5

Part of

Midwest Ctr for Reprod

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN PROVIDER",
            "identifier": "3D492",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ND PROVIDER",
            "identifier": "COR16154",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC-ND PROVIDER",
            "identifier": "COR16153",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN PROVIDER FACILITY",
            "identifier": "3D491MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E02458",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Reproductive Endocrinology Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Reproductive Endocrinology Physician in Minnesota

• 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.