Active NPI
Samuel J Arnold, M.D.
- Obstetrics & Gynecology Physician
- Woodbury, MN
National Provider Identifier
1609803428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 39295
- Practice address
- 1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3045 - Phone
- (651) 209-6263
- Fax
- (651) 209-6264
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 39295 | MN | Primary |
Addresses
Primary practice location
1687 Woodlane Dr
Suite 101
Woodbury, MN 55125-3045
Mailing address
1689 Galway LN
Eagan, MN 55122-1790
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57F15AR | Other | MN | BLUE CROSS BLUE SHIELD |
| 0702245 | Other | MN | MEDICA |
| 34454300 | Other | WI | MEDICAID |
| 646501 | Other | MN | ARAZ |
| NA3501013511 | Other | MN | PREFERRED ONE |
| 0702245 | Other | MN | SELECT CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Women'S Care, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FAHCDA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Maplwood, MN
- NPI 1518221779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609803428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1689 GALWAY LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551221790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 WOODLANE DR",
"address_2": "SUITE 101",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253045",
"telephone_number": "651-209-6263",
"fax_number": "651-209-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "SAMUEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "39295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "57F15AR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0702245",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "34454300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "646501",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "NA3501013511",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "0702245",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.