Active NPI
Partners in Pediatrics, LTD.
- Pediatrics Physician
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24942
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862803300 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
12730 Bass Lake Rd
Maple Grove, MN 55369
Phone (763) 559-2861
3145 Hennepin Ave
Minneapolis, MN 55408
Phone (612) 823-8600
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.
-
- Nurse Practitioner
- Plymouth, MN
- NPI 1033877378
-
- Pediatric Nurse Practitioner
- Edina, MN
- NPI 1649729088
-
- Specialist
- Minneapolis, MN
- NPI 1578671202
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "862803300",
"state": "MN"
}
],
"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.