NPIMap

Organization Active NPI

Ridgeview Clinics

  • Hematology & Oncology Physician
  • Waconia, MN
National Provider Identifier
1770726671
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
22924 Issued in MN
Legal business name
RIDGEVIEW CLINICS
Practice address
490 S Maple St
Suite 204
Waconia, MN 55387-1760
Phone
(952) 442-2191
NPI assigned
Apr 8, 2009
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Ms. Kristi A Besse
Title
Business Office Manager
Phone
(952) 442-7895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 22924 MN Primary

Addresses

Primary practice location

490 S Maple St
Suite 204
Waconia, MN 55387-1760

Mailing address

490 S Maple St
Suite 204
Waconia, MN 55387-1760
Phone (952) 442-2191

Other identifiers 1

IdentifierTypeStateIssuer
1659389310MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Clinics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1770726671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S MAPLE ST",
            "address_2": "SUITE 204",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871760",
            "telephone_number": "952-442-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S MAPLE ST",
            "address_2": "SUITE 204",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871760",
            "telephone_number": "952-442-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "952-442-7895",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "22924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659389310",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.