Organization Active NPI

Oncall Clinicians Inc.

  • Specialist
  • St Louis Park, MN
National Provider Identifier
1700217296
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ONCALL CLINICIANS INC.
Practice address
5861 Cedar Lake Road
St Louis Park, MN 55416-1653
Phone
(763) 544-1000
Fax
(612) 225-1834
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Judy Goldetsky, EXECUTIVE DIRECTOR
Title
Ceo
Phone
(763) 544-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5861 Cedar Lake Road
St Louis Park, MN 55416-1653

Mailing address

5861 Cedar Lake Rd S
St Louis Park, MN 55416-1653
Phone (763) 544-5000

National Provider Directory

National Provider Directory

Locations

625 Snelling Ave S
Saint Paul, MN 55116
Phone (651) 699-4169

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": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1700217296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161653",
            "telephone_number": "763-544-5000",
            "fax_number": "612-225-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE ROAD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161653",
            "telephone_number": "763-544-1000",
            "fax_number": "612-225-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCALL CLINICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "GOLDETSKY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-544-6000",
        "authorized_official_credential": "EXECUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.