NPIMap

Organization Active NPI

Partners in Pediatrics, LTD.

  • Pediatrics Physician
  • Maple Grove, MN
National Provider Identifier
1487604104
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24942 Issued in MN
Legal business name
PARTNERS IN PEDIATRICS, LTD.
Practice address
12730 Bass Lake Rd
Maple Grove, MN 55369-6307
Phone
(763) 559-2861
Fax
(763) 559-1338
NPI assigned
May 11, 2006
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Howard L. Bach, M.D.NPI 1942277744
Title
Physician
Phone
(763) 559-2861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 24942 MN Primary

Addresses

Primary practice location

12730 Bass Lake Rd
Maple Grove, MN 55369-6307

Mailing address

12730 Bass Lake Rd
Maple Grove, MN 55369-6307
Phone (763) 559-2861

National Provider Directory

National Provider Directory

Locations

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443
Phone (763) 425-1211

12730 Bass Lake Rd
Maple Grove, MN 55369
Phone (763) 559-2861

3145 Hennepin Ave
Minneapolis, MN 55408
Phone (612) 823-8600

2855 Campus Dr
Ste 350
Plymouth, MN 55441
Phone (763) 520-1200

3366 Oakdale Ave N
Ste 501
Robbinsdale, MN 55422
Phone (763) 588-0758

13980 Northdale Blvd
Rogers, MN 55374
Phone (763) 428-1920

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1487604104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 BASS LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696307",
            "telephone_number": "763-559-2861",
            "fax_number": "763-559-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 BASS LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696307",
            "telephone_number": "763-559-2861",
            "fax_number": "763-559-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN PEDIATRICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "763-559-2861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "24942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.