Minnesota Arthritis Center, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

MINNESOTA ARTHRITIS CENTER, PA

Practice address

2785 White Bear Ave N
Suite 108B
Maplewood, MN 55109-1307

Phone

(651) 282-0948

Fax

(651) 415-0106

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nancy L Moyer, MD

Title

Owner / Provider

Phone

(651) 282-0948

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Berdecia-Rodriguez, MD-PHD

  • Family Medicine Physician
  • Cloquet, MN
  • NPI 1477589414
  NPD (past)
• Manli Jiang, M.D

  • Nuclear Medicine Physician
  • Rochester, MN
  • NPI 1821252305

  Single Specialty

  NPD (past)
• Chad Richard Young, D.C.

  • Chiropractor
  • Maplewood, MN
  • NPI 1912192691
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1740578749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "SUITE 108 B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-282-0948",
            "fax_number": "651-415-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "SUITE 108B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-282-0948",
            "fax_number": "651-415-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ARTHRITIS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "651-282-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "35768",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Miller, M.D.
• Sarah Jane Miller, M.A.
• Stephanie C Miller
• Minneapolis Children's Surgery Center, LLC
• Minneapolis Vamc
• Minnesota Eye Consultants, PA
• Minnesota Medical Scanning Corporation (Center for Diagnostic Imaging)
• Minnesota Oncology Hematology PA (MN Cancer Care Pharmacy)
• Minnesota Oncology Hematology, PA
• Minnesota Oncology Hematology, PA

• Physical Medicine & Rehabilitation Physician in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.