Fairview Clinics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAIRVIEW CLINICS

Practice address

1151 Silver Lake Rd NW
New Brighton, MN 55112-6324

Phone

(612) 706-4500

Fax

(612) 781-6830

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Maureen V Ring

Title

Sys Dir Govt Reimb & Netwk Rel

Phone

(612) 672-6740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fairview Clinics-New Brighton Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Assefa Ayalew

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1912240235
  NPD
• Mackenzie Lee Carlson, PA

  • Physician Assistant
  • Edina, MN
  • NPI 1568038875
  NPD
• Karl H Chun, MD

  • Pediatrics Physician
  • Minneapolis, MN
  • NPI 1831166743
  NPD
• Paul Edward Dixon, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Maplewood, MN
  • NPI 1861807216
  NPD
• Christina Tove Dunn, M.D.

  • Pediatrics Physician
  • Eagan, MN
  • NPI 1265636963
  NPD
• John P Eikens, MD

  • Family Medicine Physician
  • Wyoming, MN
  • NPI 1104844604
  NPD
• Morenike Fanu

  • Diagnostic Radiology Physician
  • Minneapolis, MN
  • NPI 1720548365
  NPD
• Brooke Malia Fenske, MD

  • Obstetrics & Gynecology Physician
  • Rochester, MN
  • NPI 1306466487
  NPD
• Lauren Elizabeth Gibbons, MS, PA-C

  • Physician Assistant
  • Apple Valley, MN
  • NPI 1760884928
  NPD
• Tate Alan Gisslen, MD

  • Neonatal-Perinatal Medicine Physician
  • Minneapolis, MN
  • NPI 1629269121
  NPD
• Allison E Golnik, MD

  • Pediatrics Physician
  • Saint Paul, MN
  • NPI 1588623474
  NPD
• Aaron Kyle Graumann, M.D.

  • Pediatrics Physician
  • Bloomington, MN
  • NPI 1194042887
  NPD

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1881673002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-672-6740",
            "fax_number": "612-884-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126324",
            "telephone_number": "612-706-4500",
            "fax_number": "612-781-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SYS DIR GOVT REIMB & NETWK REL",
        "authorized_official_telephone_number": "612-672-6740"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752820511",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Clinics-New Brighton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Clinics-New Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Essence Chiropractic & Health PLLC
• Evergreen Care Community LLC
• Extendicare Homes, Inc.
• Tyson Fabyanske, MA, LADC
• Heather Maracle Fahey, PHARM.D
• Fairview Pharmacy Services LLC
• Fairview Pharmacy Services LLC
• Michelle Faith, LICSW
• Family Support Services Inc.
• Family Support Services Inc.

• Primary Care Clinic/Center in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.