Group Healthplan Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8600490 Issued in MN

Legal business name

GROUP HEALTHPLAN INC

Practice address

1430 Highway 96 E
White Bear Lake, MN 55110

Phone

(952) 883-7469

Fax

(952) 883-5395

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Lisa L Bjorkman

Title

Director

Phone

(952) 883-7469

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HealthPartners White Bear Lake Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1669532503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "PO BOX 1309",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HIGHWAY 96 E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "55110",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTHPLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "BJORKMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-883-7469"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "8600490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400512117",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPartners White Bear Lake Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPartners White Bear Lake Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Grev, NP
• Emmah Kaye Griswold, PA-C
• Kadi Groppoli
• Aaron Allen Gross, RN, CRNA
• Group Health, Inc.
• Groves Physical Therapy
• Brian Dwight Grudem, O.D.
• Thomas E Grzeskowiak, DDS
• Hannah Lucille Gueller
• Guided Mental Health

• Durable Medical Equipment & Medical Supplies in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.