Individual provider Active NPI

Taryn Marie McEvoy, M.D.

  • Obstetrics & Gynecology Physician
  • Minneapolis, MN
National Provider Identifier
1811054356
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51755 Issued in MN
Practice address
5700 Bottineau Blvd
#210
Minneapolis, MN 55429-3183
Phone
(763) 587-7000
Fax
(763) 587-7015
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 51755 MN Primary

Addresses

Primary practice location

5700 Bottineau Blvd
#210
Minneapolis, MN 55429-3183

Mailing address

5700 Bottineau Blvd
#210
Minneapolis, MN 55429-3183
Phone (763) 587-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000278 MN Practitioner - Obstetrics/Gynecology 3971657677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

9825 Hospital Dr
Suite 205
Maple Grove, MN 55369-4480
Phone (763) 587-7000

Hospital & facility affiliations

  • M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2011 Accepting new patients
North Memorial Health Care CurrentSince Mar 12, 2021 Accepting new patients
North Memorial Health Care Current Accepting new patients
Metropolitan Obstetrics & Gynecology Obstetrics & Gynecology Past Accepting new patients

Locations

11855 Ulysses St NE
Ste 240
Blaine, MN 55434

9825 Hospital Dr
Ste 205
Maple Grove, MN 55369
Phone (763) 587-7000

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

5700 Bottineau Blvd
Ste 210
Minneapolis, MN 55429
Phone (763) 330-2774

15535 34th Ave N
Ste 200
Plymouth, MN 55447

15535 34th Ave N
Plymouth, MN 55447
Phone (763) 581-5950

3007 Harbor Ln N
Ste 1400
Plymouth, MN 55447
Phone (763) 587-7000

3366 Oakdale Ave N
Ste 450
Robbinsdale, MN 55422
Phone (763) 257-4400

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3300 Oakdale Ave N
Apt 180
Robbinsdale, MN 55422
Phone (763) 581-5140

Interoperability endpoints

  • Direct secure messaging: taryn.mcevoy.1@20897.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1811054356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD",
            "address_2": "#210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293183",
            "telephone_number": "763-587-7000",
            "fax_number": "763-587-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BOTTINEAU BLVD",
            "address_2": "#210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293183",
            "telephone_number": "763-587-7000",
            "fax_number": "763-587-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "TARYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "51755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.