Seth Rosenbaum MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1519 Issued in MN

Legal business name

SETH ROSENBAUM MD PA

Practice address

10800 Lyndale Ave S
Suite 232
Bloomington, MN 55420-5614

Phone

(952) 346-9523

Fax

(952) 346-9531

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Seth Rosenbaum, M.D.

Title

President

Phone

(952) 346-9523

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1609007384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S",
            "address_2": "SUITE 232",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205614",
            "telephone_number": "952-346-9523",
            "fax_number": "952-346-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S",
            "address_2": "SUITE 232",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205614",
            "telephone_number": "952-346-9523",
            "fax_number": "952-346-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH ROSENBAUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "ROSENBAUM",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-346-9523",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "1519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.