Active NPI
Marc William Nolan, D.O.
- Rheumatology Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 59769
- Practice address
- 4040 Radio Dr
Woodbury, MN 55129-3237 - Phone
- (651) 439-8807
- Fax
- (651) 439-0232
- NPI assigned
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 74850-21 | WI | |
| Rheumatology Physician | 207RR0500X | 59769 | MN | Primary |
Addresses
Primary practice location
4040 Radio Dr
Woodbury, MN 55129-3237
Mailing address
4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600
Other practice location 1
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2651 Hillcrest Dr
Suite 101
Hudson, WI 54016-9919
Phone (800) 423-1088
4040 Radio Dr
Woodbury, MN 55129-3237
Phone (651) 439-8807
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59769 | MN | MD | Rheumatology Physician |
| 74850-21 | WI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Rheumatology | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870
5715 Memorial Ave N
Stillwater, MN 55082
Phone (514) 398-8076
4040 Radio Dr
Woodbury, MN 55129
Phone (514) 398-8076
2651 Hillcrest Dr
Ste 101
Hudson, WI 54016
Phone (800) 423-1088
2211 Vine St
Hudson, WI 54016
Phone (715) 386-1155
2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Rheumatology, WI
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Surgery Physician
- Edina, MN
- NPI 1235395864
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
- Psychiatric Hospital Unit
- Minneapolis, MN
- NPI 1356369524
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Specialist
- Oak Park Heights, MN
- NPI 1255337945
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1679916837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 DAHLBERG DR STE 300",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224841",
"telephone_number": "952-512-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551293237",
"telephone_number": "651-439-8807",
"fax_number": "651-439-0232"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "MARC",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-08",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WI",
"license": "74850-21",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "59769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.