Joseph Paul Amberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

30394 Issued in MN

Practice address

1690 University Ave W
Ste 570
Saint Paul, MN 55104-3741

Phone

(651) 232-4800

Fax

(651) 232-4899

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allina Health System

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  NPD
• Healtheast Medical Research Institute

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD (past)
• North Clinic, PA

  • Multi-Specialty Clinic/Center
  • Brooklyn Park, MN
  • NPI 1407011760
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1730297987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W",
            "address_2": "STE 570",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043741",
            "telephone_number": "651-232-4800",
            "fax_number": "651-232-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W",
            "address_2": "STE 570",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043741",
            "telephone_number": "651-232-4800",
            "fax_number": "651-232-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBERG",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "30394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30746400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803582200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Amann, MSW, LICSW
• Solomon Amare
• Miranda Amaris, MIRANDA
• Amazing Grace Health, LLC
• Amazing Health L. L. C.
• Paul David Amble, DDS
• Terese Marie Amble, PSY.D.
• Deanna Lynne Amborn, CCC-SLP, MST
• Lori Marie Amborn, PHARM.D.
• Benita Amedee, LPCC

• Internal Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.