Active NPI
Heather Grace Harney Awad, M.D.
- Family Medicine Physician
- Falcon Heights, MN
National Provider Identifier
1740239672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45411
- Practice address
- 1347 Larpenteur Ave W
Falcon Heights, MN 55113-6302 - Phone
- (651) 641-1700
- Fax
- (651) 641-1702
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45411 | MN | Primary |
Addresses
Primary practice location
1347 Larpenteur Ave W
Falcon Heights, MN 55113-6302
Mailing address
1347 Larpenteur Ave W
Falcon Heights, MN 55113-6302
Phone (651) 641-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark S Mellstrom MD PA | Past | Accepting new patients | |
| Mark S Mellstrom, MD, PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Lakeville, MN
- NPI 1629244686
-
- Family Medicine Physician
- Lakeville, MN
- NPI 1639340409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1740239672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 LARPENTEUR AVE W",
"city": "FALCON HEIGHTS",
"state": "MN",
"postal_code": "551136302",
"telephone_number": "651-641-1700",
"fax_number": "651-641-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 LARPENTEUR AVE W",
"city": "FALCON HEIGHTS",
"state": "MN",
"postal_code": "551136302",
"telephone_number": "651-641-1700",
"fax_number": "651-641-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "HEATHER",
"middle_name": "GRACE HARNEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "45411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falcon Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.