Organization Active NPI

Female Pelvic Medicine and Reconstructive Surgery

  • Urology Physician
  • Plymouth, MN
National Provider Identifier
1710933486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
Practice address
2805 Campus Dr
Suite 405
Plymouth, MN 55441-2676
Phone
(651) 312-1717
Fax
(763) 383-1932
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard E Karulf
Title
President / Ceo
Phone
(651) 312-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

2805 Campus Dr
Suite 405
Plymouth, MN 55441-2676

Mailing address

393 Dunlap St N
Suite 500
Saint Paul, MN 55104-4200
Phone (651) 312-1500

National Provider Directory

National Provider Directory

Locations

2800 Chicago Ave
Ste 130
Minneapolis, MN 55407
Phone (612) 863-3220

2805 Campus Dr
Ste 405B
Plymouth, MN 55441
Phone (612) 863-3220

393 Dunlap St N
Ste 500
Saint Paul, MN 55104
Phone (651) 312-1568

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710933486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 DUNLAP ST N",
            "address_2": "SUITE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044200",
            "telephone_number": "651-312-1500",
            "fax_number": "651-312-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR",
            "address_2": "SUITE 405",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412676",
            "telephone_number": "651-312-1717",
            "fax_number": "763-383-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARULF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT  / CEO",
        "authorized_official_telephone_number": "651-312-1500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.