East Metro Family Practice, P.a.
Organization Active NPI Family Medicine Physician · Inver Grove Heights, MN
NPI 1760600258 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1760600258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1417 (MN)
- Legal business name
- EAST METRO FAMILY PRACTICE, P.A.
- Practice address
- 2980 Buckley Way
Inver Grove Heights, MN 55076-2017 - Phone
- (651) 457-2748
- Fax
- (651) 457-0822
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Paul Berrisford
- Title
- Ceo
- Phone
- (651) 772-1572
Corporate family (same tax ID) 7
Practitioners 47
-
Molly Amundson, PA-C
-
Baubak Larson Azar, M.D.
-
Kelly Barnes, M.D
-
Ann M Barry, MD
-
James R. Benzie, M.D.
-
Collin Jon Beyer, DO
-
Breanna Nicole Carpenter, FNP-C
-
Evan R Eide, MD
-
Alyssa Nichole Fee, PA-C
-
Cynthia M Frane, MD
-
Jessica M Gregoire, RDN, LD
-
Thomas Haroldson, MD
-
Nicole Marie Harvey, PA-C
-
Adrienne M Irmiter, PA-C
-
Tara Lee Kelly, MD
-
Daniel E Larkin, MD
-
Bruce H Leppink, MD
National Provider Directory
- Tax ID family
- East Metro
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 1417 | MN | Yes |
Addresses
Primary practice location
2980 Buckley Way
Inver Grove Heights, MN 55076-2017
Mailing address
2025 Sloan PL
Suite 35
Saint Paul, MN 55117-2007
Phone (651) 772-2077
Other names
- East Metro - Inver Grove
Other providers in Inver Grove Heights, MN
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- Erica Eccles-Radtke
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All providers in Inver Grove Heights, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.