Organization Active NPI

Women's Health & Laser Aesthetic Center, LLC

  • Gynecology Physician
  • Edina, MN
National Provider Identifier
1649398546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
33696 Issued in MN
Legal business name
WOMEN'S HEALTH & LASER AESTHETIC CENTER, LLC
Practice address
7250 France Ave S
Suite 102
Edina, MN 55435-4305
Phone
(952) 831-2828
Fax
(952) 831-2829
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sharon S Kshettry, M.D.
Title
President
Phone
(952) 941-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 33696 MN Primary

Addresses

Primary practice location

7250 France Ave S
Suite 102
Edina, MN 55435-4305

Mailing address

7250 France Ave S
Suite 102
Edina, MN 55435-4305
Phone (952) 831-2828

National Provider Directory

National Provider Directory

Locations

7250 France Ave S
Ste 102
Minneapolis, MN 55435
Phone (952) 831-2828

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649398546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-831-2828",
            "fax_number": "952-831-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-831-2828",
            "fax_number": "952-831-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH & LASER AESTHETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KSHETTRY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-941-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MN",
            "license": "33696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.