Active NPI
Jorge Luis Llambes, D.O.
- Emergency Medicine Physician
- Minneapolis, MN
National Provider Identifier
1871696328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 28656
- Practice address
- 934Asts/CC
760 Military, MSP-Iap, Ars
Minneapolis, MN 55450-2100 - Phone
- (612) 713-1616
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 28656 | MN | Primary |
Addresses
Primary practice location
934Asts/CC
760 Military, MSP-Iap, Ars
Minneapolis, MN 55450-2100
Mailing address
1227 Shannon CT
Woodbury, MN 55125-2384
Phone (651) 738-9663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28656 | MN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871696328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 SHANNON CT",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252384",
"telephone_number": "651-738-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934ASTS/CC",
"address_2": "760 MILITARY, MSP-IAP, ARS",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554502100",
"telephone_number": "612-713-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLAMBES",
"first_name": "JORGE",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "28656",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.