Park Avenue Family Practice

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PARK AVENUE FAMILY PRACTICE

Practice address

651 Arcade St
Saint Paul, MN 55106-4518

Phone

(651) 771-5388

NPI assigned

Aug 15, 2012

Organization subpart

Yes

Parent organization

PARK AVENUE FAMILY PRACTICEAs reported in NPPES

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

Authorized official

Name

Sunhie Lee, MDNPI 1235396037

Title

Physician

Phone

(651) 771-5388

Specialties & licenses 1

Addresses

Other names 1

• Arcade Medical Clinic Doing business as

Tax ID family

Parkavenue Family Practice2 organizations share this tax ID, including this one

Part of

Parkavenue Family Practice

Other organizations with this tax ID 1

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

• Park Avenue Family Practice

  • Urgent Care Clinic/Center
  • St Paul, MN
  • NPI 1720337900
  NPD tax ID

Practitioners 1

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

• Sunhie Lee, MD

  • General Practice Physician
  • Minneapolis, MN
  • NPI 1235396037
  NPD (past) Authorized official

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1790033249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064518",
            "telephone_number": "651-771-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064518",
            "telephone_number": "651-771-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE FAMILY PRACTICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK AVENUE FAMILY PRACTICE",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNHIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "651-771-5388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcade Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Ann Pariso, CNS
• Parity Community Health Center
• Parity Wellness
• Parity Wellness
• Park Avenue Family Practice
• Juli A Park Jankowski, RPH
• Park Nicollet Health Care Products
• Christine Park, CPNP
• David Ji Hyun Park, DMD
• Hanbyul William Park, MD

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.