Organization Active NPI

Donald E Gehrig, MD, Internal Medicine, LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1558698316
Registry record updated Nov 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25153 Issued in MN
Legal business name
DONALD E GEHRIG, MD, INTERNAL MEDICINE, LLC
Practice address
393 Dunlap St N
Suite 834
Saint Paul, MN 55104-4200
Phone
(651) 644-5610
Fax
(651) 644-1039
NPI assigned
Nov 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2009

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

Authorized official

Name
Dr. Donald Eugene Gehrig, MD
Title
President
Phone
(651) 644-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25153 MN Primary

Addresses

Primary practice location

393 Dunlap St N
Suite 834
Saint Paul, MN 55104-4200

Mailing address

393 Dunlap St N
Suite 834
Saint Paul, MN 55104-4200
Phone (651) 644-5610

Other identifiers 1

IdentifierTypeStateIssuer
799002200MedicaidMN

National Provider Directory

National Provider Directory

Locations

393 Dunlap St N
Ste 834
Saint Paul, MN 55104
Phone (651) 644-5610

NPI Registry JSON

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1558698316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "SUITE 834",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-644-5610",
            "fax_number": "651-644-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "SUITE 834",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-644-5610",
            "fax_number": "651-644-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E GEHRIG, MD, INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "GEHRIG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-644-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "25153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799002200",
            "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 Nov 14, 2009; 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.