Minneapolis Health Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

53842 Issued in MN

Legal business name

MINNEAPOLIS HEALTH CLINIC PLLC

Practice address

4825 Olson Memorial Hwy.
Suite 101
Golden Valley, MN 55422

Phone

(763) 496-5708

Fax

(888) 507-5033

NPI assigned

Jan 5, 2018

Last updated

Mar 14, 2018By 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

Grace A. B. Totoe, MDNPI 1538335302

Title

Direct Owner

Phone

(215) 876-5703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Abena Birago Totoe, M. D.

  • Internal Medicine Physician
  • Robbinsdale, MN
  • NPI 1538335302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1467969907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 OLSON MEMORIAL HWY.",
            "address_2": "SUITE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-496-5708",
            "fax_number": "888-507-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 OLSON MEMORIAL HWY.",
            "address_2": "SUITE 101",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-496-5708",
            "fax_number": "888-507-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "TOTOE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A. B.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "215-876-5703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "53842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Millman
• Eric Andrew Mills, D.M.D.
• Mindful Resilience LLC
• Gerald G Mindrum, M.D.
• Minneapolis Clinic of Neurology, LTD
• Minneapolis Ophthalmology ASC LLC (Minneapolis Eye Center)
• Minnesota Behavioral Resources LLC
• Minnesota Dental Implant Center (The Dental Implant Center)
• Minnesota Emergency Communications Team
• Minnesota Medical Imaging, LLC

• Internal Medicine Physician in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.