Organization Active NPI

Core Medical Group P.a.

  • Nurse Practitioner
  • Apple Valley, MN
National Provider Identifier
1477094951
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CORE MEDICAL GROUP P.A.
Practice address
7373 147TH St W Ste 150
Apple Valley, MN 55124-7532
Phone
(952) 432-1522
NPI assigned
Mar 16, 2017
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Aaron WilliamsNPI 1780951962
Title
President
Phone
(952) 432-1522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7373 147TH St W Ste 150
Apple Valley, MN 55124-7532

Mailing address

7373 147TH St W Ste 150
Apple Valley, MN 55124-7532

National Provider Directory

National Provider Directory

Locations

7373 147th St W
Ste 150
Apple Valley, MN 55124
Phone (952) 432-1522

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1477094951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 147TH ST W STE 150",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 147TH ST W STE 150",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247532",
            "telephone_number": "952-432-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MEDICAL GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-432-1522"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.