Saint Francis Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MN8822 Issued in MN

Legal business name

SAINT FRANCIS MEDICAL CLINIC

Practice address

23671 Saint Francis Blvd NW
Suite 104
Saint Francis, MN 55070-9802

Phone

(763) 753-8724

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Alden Shoemaker, PA-C

Title

Owner

Phone

(763) 753-8724

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jennifer P Kipp, PA

  • Physician Assistant
  • Maplewood, MN
  • NPI 1124077813
  NPD (past)
• Deidre Jeanne Solberg-Daniels, MD

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1255310967
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1710170089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23671 SAINT FRANCIS BLVD NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709802",
            "telephone_number": "763-753-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23671 SAINT FRANCIS BLVD NW",
            "address_2": "SUITE 104",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550709802",
            "telephone_number": "763-753-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT FRANCIS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-753-8724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "MN8822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Palermo
• Rachel Peckumn
• Emily Peterson
• Chhorn Houn Pho, PA-C
• Natalie Lynn Pothen, PA-C
• Emily Schwarz, PT, DPT
• Lia Patrice Seidl
• Mark A Shoemaker, PA-C,SA-C
• Ashley Snyder, DC
• St Francis Dental Care PA

• Clinic/Center in Saint Francis, MN
• Providers in Saint Francis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.