The Midwest C Enter for Reproductive Heatlh, P.a.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

207VE0102X Issued in MN

Legal business name

THE MIDWEST C ENTER FOR REPRODUCTIVE HEATLH, P.A.

Practice address

12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073

Phone

(763) 494-7700

Fax

(763) 494-7706

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Randle S Corfman, PH.D, M.D.

Title

Medical Director/Owner

Phone

(763) 494-7700

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1649401688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 350",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-494-7700",
            "fax_number": "763-494-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 350",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-494-7700",
            "fax_number": "763-494-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIDWEST C ENTER FOR REPRODUCTIVE HEATLH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "CORFMAN",
        "authorized_official_first_name": "RANDLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "763-494-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MN",
            "license": "207VE0102X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN PROVIDER",
            "identifier": "3D492",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ND PROVIDER",
            "identifier": "COR16153",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN PROVIDER FACILITY",
            "identifier": "3D491MI",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E02458",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ND PROVIDER",
            "identifier": "COR16154",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Reproductive Endocrinology Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Reproductive Endocrinology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.