Rosario Grau MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34597 Issued in MN

Legal business name

ROSARIO GRAU MD PA

Practice address

6542 Regency LN
Suite 205
Eden Prairie, MN 55344-7847

Phone

(612) 225-0176

Fax

(612) 808-6738

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Maria del Rosario Grau, MD

Title

Sole Member

Phone

(612) 225-0176

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1639604606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 REGENCY LN",
            "address_2": "SUITE 205",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447847",
            "telephone_number": "612-225-0176",
            "fax_number": "612-808-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 REGENCY LN",
            "address_2": "SUITE 205",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447847",
            "telephone_number": "612-225-0176",
            "fax_number": "612-808-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSARIO GRAU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "MARIA DEL ROSARIO",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "612-225-0176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "34597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H300279329",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946883800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Rondeau
• Taylor Rookstool, APRN
• Rose Rogstad Rooney, PAC
• Ros Home Health Care, Inc.
• Ros Medical Supply Inc
• Kimberly Roseman, LADC
• Claire Rosen, MA, LPCC, LADC
• Peyton Matthew Roteff, MD
• Eira Roth, M.D.
• Stephen Edward Roudabush, RPH

• Psychiatry Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.