Organization Active NPI

Obstetrics, Gynecology & Infertilitiy, PA

  • Obstetrics & Gynecology Physician
  • Edina, MN
National Provider Identifier
1669445045
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
257 Issued in MN
Legal business name
OBSTETRICS, GYNECOLOGY & INFERTILITIY, PA
Practice address
6405 France Ave S
Suite W400
Edina, MN 55435-2163
Phone
(952) 920-2730
Fax
(952) 567-7090
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Philip Marcus, MD
Title
President
Phone
(952) 920-2730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 257 MN Primary

Addresses

Primary practice location

6405 France Ave S
Suite W400
Edina, MN 55435-2163

Mailing address

6405 France Ave S
Suite W400
Edina, MN 55435-2163
Phone (952) 920-2730

National Provider Directory

National Provider Directory

Locations

6405 France Ave S
#2265
Edina, MN 55435

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1669445045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "address_2": "SUITE W400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-920-2730",
            "fax_number": "952-567-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 FRANCE AVE S",
            "address_2": "SUITE W400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352163",
            "telephone_number": "952-920-2730",
            "fax_number": "952-567-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS, GYNECOLOGY & INFERTILITIY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-2730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "257",
            "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 Feb 6, 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.