Organization Active NPI

Metropolitan Internists, PA

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Minneapolis, MN
National Provider Identifier
1629193446
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
METROPOLITAN INTERNISTS, PA
Practice address
825 S 8TH St
Suite #600 Parkside Prof BLDG
Minneapolis, MN 55404-1208
Phone
(612) 339-7171
Fax
(612) 339-2885
NPI assigned
Mar 20, 2007
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mrs. Dawn E Meyers
Title
Manager Administrator
Phone
(612) 339-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X MN Primary

Addresses

Primary practice location

825 S 8TH St
Suite #600 Parkside Prof BLDG
Minneapolis, MN 55404-1208

Mailing address

825 S 8TH St
Suite #600 Parkside Prof BLDG
Minneapolis, MN 55404-1208
Phone (612) 339-7171

Other identifiers 3

IdentifierTypeStateIssuer
CP8684OtherMNRR MEDICARE
207RG0100XOtherMNTAXONOMY
11168MEOtherMNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

825 S 8th St
Ste 600
Minneapolis, MN 55404
Phone (612) 339-7171

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1629193446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S 8TH ST",
            "address_2": "SUITE #600 PARKSIDE PROF BLDG",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041208",
            "telephone_number": "612-339-7171",
            "fax_number": "612-339-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S 8TH ST",
            "address_2": "SUITE #600 PARKSIDE PROF BLDG",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041208",
            "telephone_number": "612-339-7171",
            "fax_number": "612-339-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN INTERNISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER ADMINISTRATOR",
        "authorized_official_telephone_number": "612-339-7171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CP8684",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207RG0100X",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "11168ME",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.