Active NPI
C Edward Vaurio, M.D.
- Specialist
- Minneapolis, MN
National Provider Identifier
1477662609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 018720
- Practice address
- 825 S 8TH St Ste 600
Minneapolis, MN 55404-1209 - Phone
- (612) 339-7171
- Fax
- (612) 339-2885
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 14, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 018720 | MN | Primary |
Addresses
Primary practice location
825 S 8TH St Ste 600
Minneapolis, MN 55404-1209
Mailing address
825 S 8TH St Ste 600
Parkside Professional BLDG
Minneapolis, MN 55404-1209
Phone (612) 339-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XX1920197002 | Other | MN | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018720 | MN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1477662609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S 8TH ST STE 600",
"address_2": "PARKSIDE PROFESSIONAL BLDG",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041209",
"telephone_number": "612-339-7171",
"fax_number": "612-339-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S 8TH ST STE 600",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554041209",
"telephone_number": "612-339-7171",
"fax_number": "612-339-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAURIO",
"first_name": "C",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "018720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "XX1920197002",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.