MD Physicals Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MD PHYSICALS INC

Practice address

14135 Cedar Ave
Ste 300
Apple Valley, MN 55124-4522

Phone

(952) 431-9655

Fax

(952) 431-9651

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Mary Jo Partida

Title

Clinic Manager

Phone

(952) 431-9655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fernando J Partida Ruessga, MD

  • General Practice Physician
  • Apple Valley, MN
  • NPI 1427043512
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417942509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-431-9655",
            "fax_number": "952-431-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "STE 300",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-431-9655",
            "fax_number": "952-431-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PHYSICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARTIDA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "952-431-9655"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Alexander McMillon, DDS
• Amanda Howes McMullen, OD
• Heidi McNulty, M.A.
• Meggan McGrath McQuillan, LMFT
• MD Clinic, Inc
• Merideth E Meador-Schulte, DDS
• Edward Daniel Meehan, MSW, LICSW
• Lindsey Ann Mehran-Rezaii, DNP, RN, CNP, MSCP
• Kevin Thomas Melander Crimmins, D.C.
• Sarah Melquist, FNP-C

• General Practice Physician in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.