Meadowbrook Women's Clinic, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEADOWBROOK WOMEN'S CLINIC, PA

Practice address

825 S 8TH St
Suite 1018
Minneapolis, MN 55404-1208

Phone

(612) 376-7708

Fax

(612) 376-9665

NPI assigned

Jul 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frederick H Kravitz, MD

Title

President

Phone

(612) 376-7708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427062496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 8TH ST",
            "address_2": "SUITE 1018",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041208",
            "telephone_number": "612-376-7708",
            "fax_number": "612-376-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S 8TH ST",
            "address_2": "SUITE 1018",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041208",
            "telephone_number": "612-376-7708",
            "fax_number": "612-376-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK WOMEN'S CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-376-7708",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole McWilliams, CNP
• Kelsey McWilliams
• Marquisa Janae McWright
• Marilyn Meade-Moore
• Joy Meade, LPN
• Michelle Meadows, MT-BC
• Jonee Elizabeth Meagher, O.D.
• Meaningful Healing Therapy LLC
• Jolyn Means, LPN
• McKinley Hruby Medhaug

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.