Individual provider Active NPI

Katie Helen Willihnganz-Lawson, M.D.

  • Pediatric Urology Physician
  • Minneapolis, MN
National Provider Identifier
1720255656
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
MD60339136WA Issued in WA
Practice address
2530 Chicago Ave
Suite 550
Minneapolis, MN 55404-4289
Phone
(612) 813-8006
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X MD60339136WA WA Primary

Addresses

Primary practice location

2530 Chicago Ave
Suite 550
Minneapolis, MN 55404-4289

Mailing address

2530 Chicago Ave
Suite 550
Minneapolis, MN 55404-4289
Phone (612) 813-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016001834 MN Practitioner - Pediatric Medicine 0547481566 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60339136WAWAMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Surgical Associates LTD Pediatric Urology CurrentSince Aug 23, 2015 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Apr 15, 2021 Accepting new patients
The Duluth Clinic LTD CurrentSince Apr 15, 2021 Accepting new patients
Gillette Children'S Specialty Healthcare CurrentSince Aug 23, 2015 Accepting new patients
Gillette Children'S Specialty Healthcare CurrentSince Aug 23, 2015 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Gillette Children'S Specialty Healthcare PastSince Aug 23, 2015 Accepting new patients

Locations

420 E 1st St
Duluth, MN 55805
Phone (218) 786-1265

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

2530 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

4530 77th St W
Ste 205
Minneapolis, MN 55435
Phone (952) 835-3375

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 810-8000

6060 Clearwater Dr
Ste 110
Minnetonka, MN 55343
Phone (612) 813-8800

347 Smith Ave N
Ste 502
Saint Paul, MN 55102
Phone (651) 248-2113

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

5354 Edgewood Dr
Saint Paul, MN 55112

Interoperability endpoints

  • Direct secure messaging: katie.willihnganzlawson@psal.eclinicaldirectplus.com
  • Direct secure messaging: katie.willihnganz.lawson.wilka@slk.direct.slhduluth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1720255656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "SUITE 550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "SUITE 550",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIHNGANZ-LAWSON",
        "first_name": "KATIE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "WA",
            "license": "MD60339136WA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.