Active NPI
Mark N Ahrendt, MD
- Surgery Physician
- Robbinsdale, MN
National Provider Identifier
1467568501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33948
- Practice address
- North Memorial Health Care
3300 Oakdale Ave North
Robbinsdale, MN 55422 - Phone
- (763) 520-7647
- Fax
- (763) 520-1022
- NPI assigned
- Aug 22, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33948 | MN | Primary |
Addresses
Primary practice location
North Memorial Health Care
3300 Oakdale Ave North
Robbinsdale, MN 55422
Mailing address
North Memorial Trauma Services
3300 Oakdale Ave North
Robbinsdale, MN 55422
Phone (763) 520-7647
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410729979 | Other | HEALTH PARTNERS | |
| 1000817 | Other | PREFERRED ONE | |
| 1700227 | Other | MEDICA | |
| 31681100 | Medicaid | WI | |
| 2M848AH | Other | BLUE CROSS BLUE SHIELD | |
| 964303600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467568501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NORTH MEMORIAL TRAUMA SERVICES",
"address_2": "3300 OAKDALE AVE NORTH",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-520-7647",
"fax_number": "763-520-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH MEMORIAL HEALTH CARE",
"address_2": "3300 OAKDALE AVE NORTH",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-520-7647",
"fax_number": "763-520-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHRENDT",
"first_name": "MARK",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "33948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "410729979",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1000817",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1700227",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31681100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2M848AH",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "964303600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.