Active NPI
Donald E Gehrig, MD, Internal Medicine, LLC
- Clinic/Center
- Saint Paul, MN
National Provider Identifier
1558698316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 25153
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 799002200 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.