North Urology, LTD.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

040181 Issued in MN

Legal business name

NORTH UROLOGY, LTD.

Practice address

4080 W Broadway Ave
Suite #310
Robbinsdale, MN 55422-5604

Phone

(763) 520-5888

Fax

(763) 520-5955

NPI assigned

Mar 21, 2007

Last updated

Nov 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Allen Hackett, M.D.NPI 1528173325

Title

President

Phone

(763) 520-5888

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Allen Hackett, M.D.

  • Urology Physician
  • Corbin, KY
  • NPI 1528173325
  NPD (past) Authorized official
• Dean George Tortorelis, M.D.

  • Urology Physician
  • Edina, MN
  • NPI 1497868368
  NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1730205113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "SUITE #310",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-520-5888",
            "fax_number": "763-520-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE",
            "address_2": "SUITE #310",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "763-520-5888",
            "fax_number": "763-520-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH UROLOGY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-520-5888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MN",
            "license": "040181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32722000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18063TW",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248645800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP8671",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PRIMARY",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "101378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Memorial Health Care (North Memorial Health Specialty Center - Robbinsdale)
• North Memorial Health Care (North Memorial Health Pharmacy-Specialty Center Contract)
• North Memorial Health Care (North Memorial Health Hospital)
• North Memorial Health Care (North Memorial Health Specialty Clinic)
• North Memorial Medical Center Pharmacy (North Memorial Health Pharmacy - Robbinsdale)
• Gabriella Norton, PA-C
• Chad Michael Novak, PHARMD
• Joanne Novak
• Nuvision Homecare Services LLC
• Jereoha Chideralum Nwobodo

• Urology Physician in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Urology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.