Organization Active NPI

Cities Lung Clinic PA

Doing business as Cities Lung Clinic

  • Pulmonary Disease Physician
  • Fridley, MN
National Provider Identifier
1720315567
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26570 Issued in MN
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.