Active NPI
Healtheast Woodwinds Hospital
- Internal Medicine Physician
- Woodbury, MN
National Provider Identifier
1679452973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HEALTHEAST WOODWINDS HOSPITAL
- Practice address
- 1925 Woodwinds Dr
Woodbury, MN 55125-4445 - Phone
- (855) 324-7843
- NPI assigned
- Aug 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Charles Gaylord
- Title
- Cfo
- Phone
- (651) 895-3054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1925 Woodwinds Dr
Woodbury, MN 55125-4445
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Other practice location 1
1875 Woodwinds Dr Ste Wl30
Woodbury, MN 55125-2534
Phone (651) 232-0228
Other practice location 2
1875 Woodwinds Dr Ste 130
Woodbury, MN 55125-4476
Phone (651) 232-0228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000110 | MN | Part B Supplier - Clinic/Group Practice | 9638082563 |
Receives reassigned benefits from 702 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodbury, MN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Fairview Woodwinds Hospital
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
O20031107000110
National Provider Directory
National Provider Directory- Tax ID family
- Healtheast Woodwinds Hosp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Fairview Woodwinds Hospital Pharmacy
- Pharmacy
- Woodbury, MN
- NPI 1841047792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1679452973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254445",
"telephone_number": "855-324-7843"
}
],
"practiceLocations": [
{
"address_1": "1875 Woodwinds Dr Ste Wl30",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551252534",
"country_code": "US",
"telephone_number": "651-232-0228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1875 Woodwinds Dr Ste 130",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "MN",
"postal_code": "551254476",
"country_code": "US",
"telephone_number": "651-232-0228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHEAST WOODWINDS HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "GAYLORD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-895-3054"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
- Healtheast Medical Research Insititue
- Healtheast Medical Research Institute
- Healtheast Medical Research Institute (HealthEast Tamarack Clinic)
- Healtheast Medical Research Institute (HealthEast Woodbury Clinic)
- Healtheast Woodwinds Hospital (Fairview Woodwinds Hospital)
- Healtheast Woodwinds Hospital (Fairview Woodwinds Hospital Pharmacy)
- Katherine Heard
- Hearing of America, LLC (In-Home Hearing)
- Heartland Technology Systems L.L.C. (HTS Security)
- Heather Robinson DDS PA (Midwest Dental Anesthesia Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.