Active NPI
Medica Health Management, LLC
Doing business as Integrated Care by Medica
- Nurse Practitioner
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21268142
- Legal business name
- MEDICA HEALTH MANAGEMENT, LLC
- Doing business as
- Integrated Care by Medica
- Practice address
- 401 Carlson Pkwy
Minnetonka, MN 55305-5359 - Phone
- (952) 992-2000
- Fax
- (952) 992-8665
- NPI assigned
- Mar 7, 2012
- Last updated
- Nov 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn Andis
- Title
- Sr. Vice President Gov. Programs
- Phone
- (952) 992-3977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21268142 | MN | Primary |
Addresses
Primary practice location
401 Carlson Pkwy
Minnetonka, MN 55305-5359
Mailing address
401 Carlson Pkwy
Minnetonka, MN 55305-5359
Phone (952) 992-2000
Other names 1
- Integrated Care by Medica
National Provider Directory
National Provider DirectoryLocations
401 Carlson Pkwy
Minnetonka, MN 55305
Phone (952) 992-3404
401 Carlson Pkwy
#340
Minnetonka, MN 55305
Phone (952) 992-3581
401 Carlson Pkwy
#345
Minnetonka, MN 55305
Phone (952) 992-3581
401 Carlson Pkwy
#435
Minnetonka, MN 55305
Phone (952) 992-3581
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Minnetonka, MN
- NPI 1609487941
-
- Gastroenterology Physician
- Minnetonka, MN
- NPI 1740724525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384905600000",
"number": "1750655882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CARLSON PKWY",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055359",
"telephone_number": "952-992-2000",
"fax_number": "952-992-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CARLSON PKWY",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553055359",
"telephone_number": "952-992-2000",
"fax_number": "952-992-8665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICA HEALTH MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-07",
"last_updated": "2013-11-20",
"status": "A",
"authorized_official_last_name": "ANDIS",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "SR. VICE PRESIDENT GOV. PROGRAMS",
"authorized_official_telephone_number": "952-992-3977",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "21268142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrated Care by Medica",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minnetonka, MN
- Sean McRoberts, MD
- Shane McWhirter, MD
- Wendelin Meares, FNP
- Medexpress Primary Care Minnesota PC (MedExpress The Well MTKA)
- Medexpress Primary Care Minnesota, P.C. (The Well - Minnetonka, Bren Rd E)
- Medstudio, PLLC
- Carey Meehan, PT
- Hannah Mae Meehan, DPT
- Mary Christine Meehan, MD
- Mehr Therapy and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.