Active NPI
Lifeforce Therapies
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Plymouth, MN
National Provider Identifier
1609172113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 600209
- Legal business name
- LIFEFORCE THERAPIES
- Practice address
- 3555 Plymouth Blvd
Plymouth, MN 55447-1389 - Phone
- (763) 694-7000
- Fax
- (763) 694-7116
- NPI assigned
- Jan 31, 2011
- 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
- Mr. James E Williams
- Title
- Ceo
- Phone
- (763) 694-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 600209 | MN | Primary |
Addresses
Primary practice location
3555 Plymouth Blvd
Plymouth, MN 55447-1389
Mailing address
3555 Plymouth Blvd
Plymouth, MN 55447-1389
Phone (763) 694-7000
National Provider Directory
National Provider DirectoryLocations
3555 Plymouth Blvd
Plymouth, MN 55447
Phone (763) 694-7000
3555 Plymouth Blvd
Ste 218
Plymouth, MN 55447
Phone (763) 694-7000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health & Wellness Coach
- Bloomington, MN
- NPI 1063718997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1609172113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3555 PLYMOUTH BLVD",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554471389",
"telephone_number": "763-694-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 PLYMOUTH BLVD",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554471389",
"telephone_number": "763-694-7000",
"fax_number": "763-694-7116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEFORCE THERAPIES",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-31",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-694-7000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MN",
"license": "600209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.