Group Health Plan Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8600490 Issued in MN

Legal business name

GROUP HEALTH PLAN INC

Doing business as

North Suburban Family Physicians-Roseville

Practice address

2831 Snelling Ave N
Roseville, MN 55113

Phone

(952) 883-7469

Fax

(952) 883-5395

NPI assigned

Dec 13, 2006

Last updated

Jul 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Bjorkman

Title

Director

Phone

(952) 883-7469

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Suburban Family Physicians-Roseville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1821159732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MAIL STOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SNELLING AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "952-883-7469",
            "fax_number": "952-883-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTH PLAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "BJORKMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-883-7469"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "8600490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213651100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suburban Family Physicians-Roseville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Suburban Family Physicians-Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Gregg, LICSW
• Megan Lea Griggs Leroux, RN
• Laurent Grignon, M.D.
• Erin Grimley, MSW LGSW
• Glen Gross
• Group Health Plan, Inc
• Lisa Sue Grover, DNP, APRN, FNP-C
• Everett Gu, M.D.
• Guided Growth
• Kaitlen Gullicksrud, ATC/R

• Durable Medical Equipment & Medical Supplies in Roseville, MN
• Providers in Roseville, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.