Organization Active NPI

Internal Medicine and Geriatrics Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • Minneapolis, MN
National Provider Identifier
1417159187
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
INTERNAL MEDICINE AND GERIATRICS ASSOCIATES
Practice address
701 25TH Ave S
Suite 505
Minneapolis, MN 55454-1513
Phone
(507) 732-4352
Fax
(507) 732-4736
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Daniel J Stein, MD
Title
President
Phone
(507) 732-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

701 25TH Ave S
Suite 505
Minneapolis, MN 55454-1513

Mailing address

701 25TH Ave S
Suite 505
Minneapolis, MN 55454-1513
Phone (507) 732-4352

National Provider Directory

National Provider Directory

Locations

701 25th Ave S
Ste 505
Minneapolis, MN 55454
Phone (612) 455-2008

7801 E Bush Lake Rd
#32
Minneapolis, MN 55439

2500 Niagara Ln N
Plymouth, MN 55447
Phone (612) 473-1298

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1417159187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 25TH AVE S",
            "address_2": "SUITE 505",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541513",
            "telephone_number": "507-732-4352",
            "fax_number": "507-732-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 25TH AVE S",
            "address_2": "SUITE 505",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541513",
            "telephone_number": "507-732-4352",
            "fax_number": "507-732-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND GERIATRICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-732-4352",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.