Pops Diabetes Care, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

POPS DIABETES CARE, INC

Practice address

5600 Memorial Ave N Ste 2
Oak Park Heights, MN 55082-1087

Phone

(800) 767-7268

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Peter Cao

Title

Office Manager

Phone

(612) 202-8502

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1871052324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MEMORIAL AVE N STE 2",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550821087",
            "telephone_number": "800-767-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MEMORIAL AVE N STE 2",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550821087",
            "telephone_number": "800-767-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPS DIABETES CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-202-8502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eloisa Osborne
• David Hadley Palmer, MD
• Timothy Jay Panek, MD
• Jonathan J Paschke, PHARM. D.
• Brett William Petersen, PT
• John Przybylinski, MD
• Aundrea Denise Rainville, M.D.
• Shannon Lea Rechtiene, OTR/L, CHT
• Tanya Antonia Reckinger, OTR/L, CHT
• Michael Renfro, AT-C, MA

• Point of Service in Oak Park Heights, MN
• Providers in Oak Park Heights, MN by specialty
• Point of Service in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.