Organization Active NPI

Plastic Surgery Consultants

  • Plastic Surgery Physician
  • Saint Paul, MN
National Provider Identifier
1790222438
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY CONSULTANTS
Practice address
2550 University Ave W
Ste 110N
Saint Paul, MN 55114-1052
Phone
(651) 602-5311
Fax
(651) 222-6786
NPI assigned
Jan 19, 2017
Last updated
Jan 19, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MINNESOTA ONCOLOGY HEMATOLOGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Joan L Theis
Title
Business Office Manager
Phone
(651) 602-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MN Primary

Addresses

Primary practice location

2550 University Ave W
Ste 110N
Saint Paul, MN 55114-1052

Mailing address

3300 Edinborough Way
Ste 410
Edina, MN 55435-5923
Phone (952) 746-6767

National Provider Directory

National Provider Directory
Part of
Minnesota Oncology Hematology PA

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1790222438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "STE 410",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355923",
            "telephone_number": "952-746-6767",
            "fax_number": "952-746-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "STE 110N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-602-5311",
            "fax_number": "651-222-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CONSULTANTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNESOTA ONCOLOGY HEMATOLOGY, PA",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "651-602-5326"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.