Organization Active NPI

Woodbury Progressive Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Woodbury, MN
National Provider Identifier
1407337629
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WOODBURY PROGRESSIVE MEDICAL ASSOCIATES PC
Practice address
7060 Valley Creek PLZ Ste 121
Woodbury, MN 55125-2269
Phone
(651) 735-8646
Fax
(651) 730-9210
NPI assigned
Aug 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Dr. Christopher Thomas Drews, DC
Title
President
Phone
(651) 735-8646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7060 Valley Creek PLZ Ste 121
Woodbury, MN 55125-2269

Mailing address

7060 Valley Creek PLZ Ste 121
Woodbury, MN 55125-2269
Phone (651) 735-8646

Other names 1

  • HealthMax Progressive Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1407337629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 VALLEY CREEK PLZ STE 121",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252269",
            "telephone_number": "651-735-8646",
            "fax_number": "651-730-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 VALLEY CREEK PLZ STE 121",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252269",
            "telephone_number": "651-735-8646",
            "fax_number": "651-730-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY PROGRESSIVE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "DREWS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-735-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthMax Progressive Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.