Active NPI
MCRH Alpha Medical, P.a.
- Reproductive Endocrinology Physician
- Maple Grove, MN
National Provider Identifier
1841523248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 33043
- Legal business name
- MCRH ALPHA MEDICAL, P.A.
- Practice address
- 12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073 - Phone
- (763) 494-7700
- Fax
- (763) 494-7706
- NPI assigned
- Sep 16, 2009
- Organization subpart
- Yes
- Parent organization
- THE MIDWEST CENTER FOR REPRODUCTIVE HEALTH, P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laramie Anderson
- Title
- Business Office Manager
- Phone
- (763) 494-7734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | 33043 | MN | Primary |
Addresses
Primary practice location
12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073
Mailing address
12000 Elm Creek Blvd N
Suite 350
Maple Grove, MN 55369-7073
Phone (763) 494-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3D491MI | Other | MN | BCBCMN PROVIDER FACILITY |
| 3D492 | Other | MN | BCBSMN PROVIDER |
| E02458 | Other | MN | UPIN |
National Provider Directory
National Provider Directory- Part of
- Midwest Ctr for Reprod
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1841523248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12000 ELM CREEK BLVD N",
"address_2": "SUITE 350",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697073",
"telephone_number": "763-494-7700",
"fax_number": "763-494-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12000 ELM CREEK BLVD N",
"address_2": "SUITE 350",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697073",
"telephone_number": "763-494-7700",
"fax_number": "763-494-7706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCRH ALPHA MEDICAL, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE MIDWEST CENTER FOR REPRODUCTIVE HEALTH, P.A.",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "LARAMIE",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "763-494-7734"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MN",
"license": "33043",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBCMN PROVIDER FACILITY",
"identifier": "3D491MI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN PROVIDER",
"identifier": "3D492",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "E02458",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.