Organization Active NPI

Midwest Infectious Disease Consultants P a

  • Medical Specialty Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1861505760
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
22682 Issued in MN
Legal business name
MIDWEST INFECTIOUS DISEASE CONSULTANTS P A
Practice address
825 Nicollet Mall
Medical Arts Building, Suite # 701
Minneapolis, MN 55402-2606
Phone
(612) 333-1319
Fax
(612) 333-0894
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Dr. Elliot L Francke, M.D.
Title
Owner
Phone
(612) 333-1319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 22682 MN Primary

Addresses

Primary practice location

825 Nicollet Mall
Medical Arts Building, Suite # 701
Minneapolis, MN 55402-2606

Mailing address

825 Nicollet Mall
Medical Arts Building, Suite # 701
Minneapolis, MN 55402-2606
Phone (612) 333-1319

Other identifiers 1

IdentifierTypeStateIssuer
623002400MedicaidMN

National Provider Directory

National Provider Directory

Locations

825 Nicollet Mall
Ste 701
Minneapolis, MN 55402
Phone (612) 333-1319

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1861505760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "MEDICAL ARTS BUILDING, SUITE # 701",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-333-1319",
            "fax_number": "612-333-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "MEDICAL ARTS BUILDING, SUITE # 701",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022606",
            "telephone_number": "612-333-1319",
            "fax_number": "612-333-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INFECTIOUS DISEASE CONSULTANTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "FRANCKE",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-333-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "22682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623002400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.