Organization Active NPI

Ezy Urgent Care Clinic, PLLC

  • Urgent Care Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1619201449
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
EZY URGENT CARE CLINIC, PLLC
Practice address
1001 Johnson Pkwy Ste A1
Saint Paul, MN 55106-3655
Phone
(651) 646-0028
Fax
(651) 348-8638
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Ramon Nola, MDNPI 1588193379
Title
Owner
Phone
(316) 208-1871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1001 Johnson Pkwy Ste A1
Saint Paul, MN 55106-3655

Mailing address

1001 Johnson Pkwy Ste A1
Saint Paul, MN 55106-3655
Phone (651) 646-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100208000296 MN Part B Supplier - Clinic/Group Practice 7012050404 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Paul, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2037312Ezy Urgent Care Clinic1001 Johnson Parkway Suite A1, Saint Paul, MN 55106Provider-performed microscopyFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

1001 Johnson Pkwy
Ste A1
Saint Paul, MN 55106
Phone (651) 321-8856

962 University Ave W
Ste B
Saint Paul, MN 55104

Practitioners & affiliated clinicians

Practitioners 3

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": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1619201449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE A1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063655",
            "telephone_number": "651-646-0028",
            "fax_number": "651-348-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE A1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063655",
            "telephone_number": "651-646-0028",
            "fax_number": "651-348-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZY URGENT CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "NOLA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-208-1871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.