Active NPI
Cities Lung Clinic PA
Doing business as Cities Lung Clinic
- Pulmonary Disease Physician
- Fridley, MN
National Provider Identifier
1720315567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26570
- Legal business name
- CITIES LUNG CLINIC PA
- Doing business as
- Cities Lung Clinic
- Practice address
- 500 Osborne Rd NE
Suite 360
Fridley, MN 55432-2783 - Phone
- (763) 398-0740
- Fax
- (763) 398-0742
- NPI assigned
- Nov 16, 2009
- Last updated
- Mar 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Leo Graif, MD
- Title
- Owner
- Phone
- (736) 398-0740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 26570 | MN | Primary |
Addresses
Primary practice location
500 Osborne Rd NE
Suite 360
Fridley, MN 55432-2783
Mailing address
500 Osborne Rd NE
Suite 360
Fridley, MN 55432-2783
Phone (763) 398-0740
Other names 1
- Cities Lung Clinic
National Provider Directory
National Provider DirectoryLocations
500 Osborne Rd NE
Ste 360
Fridley, MN 55432
Phone (763) 398-0740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268006400000",
"number": "1720315567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OSBORNE RD NE",
"address_2": "SUITE 360",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322783",
"telephone_number": "763-398-0740",
"fax_number": "763-398-0742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OSBORNE RD NE",
"address_2": "SUITE 360",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322783",
"telephone_number": "763-398-0740",
"fax_number": "763-398-0742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITIES LUNG CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-16",
"last_updated": "2010-03-08",
"status": "A",
"authorized_official_last_name": "GRAIF",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "LEO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "736-398-0740",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "26570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cities Lung Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.