On Call Medical Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ON CALL MEDICAL INC

Practice address

5861 Cedar Lake Rd S
St Louis Park, MN 55416-1481

Phone

(763) 544-1000

Fax

(763) 541-1076

NPI assigned

Feb 19, 2013

Organization subpart

No

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

Authorized official

Name

Judy Goldetsky

Title

Ceo

Phone

(763) 544-1000

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1821338484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161481",
            "telephone_number": "763-544-1000",
            "fax_number": "763-541-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5861 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161481",
            "telephone_number": "763-544-1000",
            "fax_number": "763-541-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON CALL MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "GOLDETSKY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-544-1000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhia Abdirahman Omar
• Khalid Shafie Omar
• Neima Ali Omar
• Nejima Omar
• On Call Clinicians
• On Track MN, L.L.C.
• Oncall Clinicians Inc.
• Steven Oncay
• Peggy A Ondrey
• James Oneill

• Nurse Practitioner in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.