NPIMap

Organization Active NPI

Minnesota Oncology Hematology PA

  • Radiation Oncology Clinic/Center
  • Coon Rapids, MN
National Provider Identifier
1629387303
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
Legal business name
MINNESOTA ONCOLOGY HEMATOLOGY PA
Practice address
3960 Coon Rapids Blvd NW
# 311
Coon Rapids, MN 55433-2569
Phone
(763) 236-9090
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Randall Thompson
Title
Ceo
Phone
(651) 602-5365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X NU Primary

Addresses

Primary practice location

3960 Coon Rapids Blvd NW
# 311
Coon Rapids, MN 55433-2569

Mailing address

3960 Coon Rapids Blvd NW
# 311
Coon Rapids, MN 55433-2569

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Oncology Hematology PA26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

3960 Coon Rapids Blvd NW
Ste 311
Coon Rapids, MN 55433
Phone (612) 230-0044

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1629387303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW",
            "address_2": "# 311",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW",
            "address_2": "# 311",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332569",
            "telephone_number": "763-236-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ONCOLOGY HEMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-602-5365"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.