Active NPI
Eric Sturlaugson, M.D.
- Family Medicine Physician
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28583
- Practice address
- 2855 Campus Dr
Plymouth, MN 55441-2649 - Phone
- (763) 577-7179
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28583 | MN | Primary |
Addresses
Primary practice location
2855 Campus Dr
Plymouth, MN 55441-2649
Mailing address
18585 85TH Ave N
Maple Grove, MN 55311-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467777300 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | esturlaugson153809@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Westhealth Surgery Center LLC | Current | Accepting new patients | |
| Emergency Care Consultants, PA | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients |
Locations
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2855 Campus Dr
Plymouth, MN 55441
Phone (763) 577-7000
Interoperability endpoints
- esturlaugson153809@excellian.direct.allina.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1669422788
-
- Ambulatory Surgical Clinic/Center
- Plymouth, MN
- NPI 1598165664
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1427142710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18585 85TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553111667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 CAMPUS DR",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554412649",
"telephone_number": "763-577-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURLAUGSON",
"first_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-03-11",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "28583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "467777300",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "esturlaugson153809@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2855 Campus Dr",
"city": "Plymouth",
"state": "MN",
"country_code": "US",
"postal_code": "554412649",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.