Organization Active NPI

Lifeforce Therapies

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Plymouth, MN
National Provider Identifier
1609172113
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
600209 Issued in MN
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

Updated by the provider on Jan 31, 2011

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)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.