Minnesota Gynecology and Aesthetics, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

33512 Issued in MN

Legal business name

MINNESOTA GYNECOLOGY AND AESTHETICS, PA

Practice address

1421 East Wayzata Blvd
Suite 200
Wayzata, MN 55391-1939

Phone

(952) 473-6642

Fax

(952) 473-2312

NPI assigned

Aug 5, 2011

Last updated

Feb 15, 2012By 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

Dr. Lisa N Erhard, M.D.

Title

Ceo

Phone

(952) 220-9301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1831478940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 EAST WAYZATA BLVD",
            "address_2": "SUITE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911939",
            "telephone_number": "952-473-6642",
            "fax_number": "952-473-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 EAST WAYZATA BLVD",
            "address_2": "SUITE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911939",
            "telephone_number": "952-473-6642",
            "fax_number": "952-473-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA GYNECOLOGY AND AESTHETICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "ERHARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-220-9301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "33512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615323200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Harrison DDS PA
• Michael W. Gleysteen, DDS, PA
• Midwest Rheumatology
• Natalie Marie Miller, PT, DPT, OCS
• Minneapolis Integrative Medicine Center, LLC
• Minnesota Senior Living LLC (Meridian Manor)
• Minnesota Surgical Associates LTD.
• Bradley J Molskness, DC
• Monica Kennard,D.D.S.,P.a.
• Moyo Health Inc

• Medical Specialty Clinic/Center in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.