NPIMap

Individual provider Active NPI

Julie Louise Laidig, MD

  • Internal Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1609068832
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50936 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
Fax
(651) 254-9673
NPI assigned
Aug 12, 2007
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50936 MN Primary
Pediatrics Physician 208000000X 50936 MN

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

PO Box 1309
Ms 21110Q
Minneapolis, MN 55440-1309
Phone (651) 254-3456

Other names 1

  • Julie Louise Otto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110524000761 MN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153464433 Reassigns benefits to 5 organizations
I20211007001880 WI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153464433 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthpartners RCGroup PAC ID 5890126726, shared by 7 NPIs, 52 clinicians
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Amery Regional Medical Center IncGroup PAC ID 2769391960, 124 clinicians
Hudson Hospital IncGroup PAC ID 0648183061, 37 clinicians
Westfields Hospital IncGroup PAC ID 2264490960, 108 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

100 Healthy Way
Olivia, MN 56277-1117
Phone (320) 523-1460

1029 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4400

1071 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4610

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8325 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5868

8450 Seasons Pkwy
Woodbury, MN 55125-4402
Phone (651) 702-5300

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

927 Churchill W St
Stillwater, MN 55082-6605
Phone (651) 439-5330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50936MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Oct 1, 2021 Accepting new patients
St. Croix Regional Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Hutchinson Health CurrentSince Jun 1, 2020 Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince Jan 1, 2018 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 18, 2023 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 18, 2023 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 18, 2023 Accepting new patients
Westfields Hospital, Inc CurrentSince Jul 18, 2023 Accepting new patients
Healthpartners RC CurrentSince Jul 1, 2022 Accepting new patients
Healthpartners RC CurrentSince Jul 1, 2022 Accepting new patients
Group Health, Inc. CurrentSince Apr 10, 2011 Accepting new patients
Group Health, Inc. Current Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince Jan 1, 2018 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 18, 2023 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jul 18, 2023 Accepting new patients
Group Health, Inc. CurrentSince Apr 10, 2011 Accepting new patients
San Diego Critical Care Medical Group, Inc Internal Medicine PastSince Nov 20, 2022 Accepting new patients
Regions Hospital Past Accepting new patients

Locations

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1609068832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "address_2": "MS 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554401309",
            "telephone_number": "651-254-3456",
            "fax_number": "651-254-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456",
            "fax_number": "651-254-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDIG",
        "first_name": "JULIE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "50936",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "50936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "OTTO",
            "middle_name": "LOUISE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.