NPIMap

Organization Active NPI

Emergency Physicians Professional Association

Doing business as Emergency Physicians, P.A.

  • Emergency Medicine Physician
  • Bloomington, MN
National Provider Identifier
1801871934
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION
Doing business as
Emergency Physicians, P.A.
Practice address
4300 Marketpointe Drive
Suite 100
Bloomington, MN 55435-5435
Phone
(952) 835-9880
Fax
(952) 857-1554
NPI assigned
Dec 13, 2005
Last updated
Mar 22, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
EMERGENCY PHYSICIANS PROFESSIONALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Authorized official

Name
Ms. Kristi M Rennich
Title
Director, Finance
Phone
(952) 857-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

4300 Marketpointe Drive
Suite 100
Bloomington, MN 55435-5435

Mailing address

4300 Marketpointe Drive
Suite 100
Bloomington, MN 55435-5435
Phone (952) 835-9880

Other identifiers 2

IdentifierTypeStateIssuer
7350369MedicaidMN
8032100600MedicaidMN

Other names 1

  • Emergency Physicians, P.A. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000068 MN Part B Supplier - Clinic/Group Practice 9537072657 Receives reassigned benefits from 407 practitioners
4 other NPIs on this enrollment
Practice locations: Monticello, MN; Woodbury, MN; Willmar, MN; Vadnais Heights, MN; St Louis Park, MN; Saint Cloud, MN; Robbinsdale, MN; Olivia, MN…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Emergecny Physicians PA

Locations

4300 Marketpointe Dr
Bloomington, MN 55435
Phone (952) 769-1684

201 E Nicollet Blvd
Ste 150
Burnsville, MN 55337

1159 County Rd E W
Saint Paul, MN 55112

7115 Tamarack Rd
Saint Paul, MN 55125

Practitioners & affiliated clinicians

Practitioners 421

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.

View all 421

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1801871934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARKETPOINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-835-9880",
            "fax_number": "952-857-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARKETPOINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355435",
            "telephone_number": "952-835-9880",
            "fax_number": "952-857-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERGENCY PHYSICIANS PROFESSIONAL",
        "enumeration_date": "2005-12-13",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "RENNICH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "952-857-1501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7350369",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8032100600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Physicians, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.