NPIMap

Organization Active NPI

Minnesota Oncology Hematology, PA

  • Hematology & Oncology Physician
  • Saint Paul, MN
National Provider Identifier
1528035995
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
1076 Issued in MN
Legal business name
MINNESOTA ONCOLOGY HEMATOLOGY, PA
Practice address
2550 University Ave W
Suite 110N
Saint Paul, MN 55114-1052
Phone
(651) 602-5335
Fax
(651) 665-9799
NPI assigned
Mar 3, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Dr. Dean Gesme, M.D.NPI 1760467427
Title
President
Phone
(612) 884-6300

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1075 MN
Internal Medicine Physician 207R00000X 1076 MN
Hematology (Internal Medicine) Physician 207RH0000X 1076 MN
Hematology & Oncology Physician 207RH0003X 1076 MN Primary
Medical Oncology Physician 207RX0202X 1076 MN
Gynecologic Oncology Physician 207VX0201X 1076 MN
Radiation Oncology Physician 2085R0001X 1076 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 1076 MN
Durable Medical Equipment & Medical Supplies 332B00000X 1076 MN
Medical Physician Assistant 363AM0700X 1076 MN
Surgical Physician Assistant 363AS0400X 1076 MN
Adult Health Nurse Practitioner 363LA2200X 1076 MN
Family Nurse Practitioner 363LF0000X 1076 MN
Gerontology Nurse Practitioner 363LG0600X 1076 MN
Genetic Counselor (M.S.) 170300000X 1076 MN

Addresses

Primary practice location

2550 University Ave W
Suite 110N
Saint Paul, MN 55114-1052

Mailing address

2550 University Ave W
Suite 110N
Saint Paul, MN 55114-1052
Phone (651) 602-5335

Other identifiers 2

IdentifierTypeStateIssuer
32881800MedicaidWI
896027500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000626 MN Part B Supplier - Clinic/Group Practice 6709799752 Receives reassigned benefits from 160 practitioners
17 other NPIs on this enrollment
Practice locations: Maplewood, MN; Minneapolis, MN; Plymouth, MN; Saint Paul, MN; Waconia, MN; Woodbury, MN; Edina, MN; Fridley, MN…
O20041007000235 WI Part B Supplier - Clinic/Group Practice 6709799752 Receives reassigned benefits from 42 practitioners
Practice locations: Hudson, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

Locations

1175 Paysphere Cir
Chicago, IL 60674

7760 France Ave S
Ste 1000
Bloomington, MN 55435
Phone (952) 746-6767

910 E 26th St
Ste 100200
Minneapolis, MN 55404
Phone (612) 884-6300

1580 Beam Ave
Saint Paul, MN 55109
Phone (651) 255-8480

2550 University Ave W
Ste 105N
Saint Paul, MN 55114
Phone (651) 602-5335

560 S Maple St
Ste 100
Waconia, MN 55387
Phone (952) 442-6006

2651 Hillcrest Dr
Ste 201
Hudson, WI 54016
Phone (651) 251-5500

Practitioners & affiliated clinicians

Practitioners 244

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 244

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1528035995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-602-5335",
            "fax_number": "651-665-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "SUITE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-602-5335",
            "fax_number": "651-665-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ONCOLOGY HEMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "GESME",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-884-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1075",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "1076",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "1076",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MN",
            "license": "1076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32881800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896027500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.