Active NPI
Mark M Vint
- Family Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 47813
- Practice address
- 3300 Fremont Ave N
Minneapolis, MN 55412-2405 - Phone
- (612) 588-9411
- Fax
- (612) 588-8066
- NPI assigned
- Mar 14, 2006
- Last updated
- Jun 2, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47813 | MN | Primary |
Addresses
Primary practice location
3300 Fremont Ave N
Minneapolis, MN 55412-2405
Mailing address
3300 Fremont Ave N
Minneapolis, MN 55412-2405
Phone (612) 588-9411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Fremont Ave N
Minneapolis, MN 55412-2405
Phone (612) 588-9411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Healthsource | Current | Accepting new patients | |
| Neighborhood Healthsource | Family Medicine | Current | Accepting new patients |
| Neighborhood Healthsource | Current | Accepting new patients |
Locations
3300 Fremont Ave N
Minneapolis, MN 55412
Phone (612) 588-9411
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1386682078
-
dba North Metro Clinic
- Federally Qualified Health Center (FQHC)
- Coon Rapids, MN
- NPI 1659323459
Family Medicine
-
dba Central Clinic
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1811934763
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Registered Nurse
- Golden Valley, MN
- NPI 1255440061
Home health agency
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370131200000",
"number": "1508835422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 FREMONT AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554122405",
"telephone_number": "612-588-9411",
"fax_number": "612-588-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 FREMONT AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554122405",
"telephone_number": "612-588-9411",
"fax_number": "612-588-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINT",
"first_name": "MARK",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2013-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "47813",
"primary": true
}
],
"identifiers": [],
"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 Jun 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.