Organization Active NPI

Hra-Iq PC

  • Geriatric Medicine (Family Medicine) Physician
  • Edina, MN
National Provider Identifier
1891174751
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
HRA-IQ PC
Practice address
4600 W 77TH St
#355
Edina, MN 55435-4909
Phone
(612) 741-2793
NPI assigned
May 26, 2015
Organization subpart
Yes
Parent organization
HRA-IQ INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mr. Steve Pontius
Title
Ceo
Phone
(612) 741-2793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

4600 W 77TH St
#355
Edina, MN 55435-4909

Mailing address

4600 W 77TH St
#355
Edina, MN 55435-4909

National Provider Directory

National Provider Directory

Locations

4600 77th St W
Ste 355
Edina, MN 55435
Phone (612) 741-2793

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1891174751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 W 77TH ST",
            "address_2": "#355",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W 77TH ST",
            "address_2": "#355",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354909",
            "telephone_number": "612-741-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRA-IQ PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HRA-IQ INC",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "PONTIUS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-741-2793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.