Park Avenue Family Practice

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PARK AVENUE FAMILY PRACTICE

Practice address

651 Arcade St
St Paul, MN 55106

Phone

(651) 771-5388

NPI assigned

Sep 5, 2012

Organization subpart

Yes

Parent organization

PARK AVENUE FAMILY PRACTICEAs reported in NPPES

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

Authorized official

Name

Karen Lee, MD

Title

Physician

Phone

(651) 771-5388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arcade Medical Clinic Doing business as

Tax ID family

Parkavenue Family Practice2 organizations share this tax ID, including this one

Part of

Parkavenue Family Practice

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park Avenue Family Practice

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1790033249
  NPD tax ID

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1720337900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ARCADE ST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-771-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ARCADE ST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-771-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK AVENUE FAMILY PRACTICE",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "651-771-5388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564133100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcade Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva Marie McGuire Parise, PA
• Deborah Ann Pariso, CNS
• Parity Community Health Center
• Parity Wellness
• Parity Wellness
• Park Avenue Family Practice
• Juli A Park Jankowski, RPH
• Park Nicollet Health Care Products
• Christine Park, CPNP
• David Ji Hyun Park, DMD

• Urgent Care Clinic/Center in St Paul, MN
• Providers in St Paul, MN by specialty
• Urgent Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.