Greater Minnesota Allergy and Asthma

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

GREATER MINNESOTA ALLERGY AND ASTHMA

Practice address

1511 Northway Dr Ste 101
Saint Cloud, MN 56303-1262

Phone

(320) 654-8266

Fax

(320) 654-8481

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Minto K Porter, MDNPI 1790776623

Title

Owner

Phone

(320) 654-8266

Specialties & licenses 1

Addresses

Other names 1

• Greater Minnesota Allergy and Asthma, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minto K Porter, MD

  • Allergy & Immunology Physician
  • Brainerd, MN
  • NPI 1790776623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1821815697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031262",
            "telephone_number": "320-654-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 NORTHWAY DR STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031262",
            "telephone_number": "320-654-8266",
            "fax_number": "320-654-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MINNESOTA ALLERGY AND ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MINTO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-654-8266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Minnesota Allergy and Asthma, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Minnesota Allergy and Asthma, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana Gray, PHARMD
• Shana N Gray
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• Greater Heights Healthcare Services
• Greater MN Trans
• Tanya Greene, LICSW
• Brenda Lynne Greenen, PHARMD
• Doug H Greenlee, MA LADC LMFT
• Emily Joy Greenlee, PA

• Allergy Physician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Allergy Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.