Edina Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

35804 Issued in MN

Legal business name

EDINA MEDICAL GROUP, INC.

Practice address

7300 France Ave S
Suite 300
Edina, MN 55435-4525

Phone

(952) 890-7546

Fax

(952) 837-9001

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark Andrew Rawson, M.D.

Title

Medical Director

Phone

(952) 890-7546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1891931218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-890-7546",
            "fax_number": "952-837-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-890-7546",
            "fax_number": "952-837-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "RAWSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-890-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "35804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edina Family Chiropractic, LLC
• Edina Family Dental Assoc., P.a.
• Edina Family Physicians
• Edina Medical Supplies
• Edina Medical Supplies, Inc.
• Edina MN Ophthalmology ASC LLC (McCannel Eye Surgery)
• Edina MN Ophthalmology ASC LLC (McCannel Eye Surgery)
• Edina Modern Dentistry, PC

• Primary Care Clinic/Center in Edina, MN
• Providers in Edina, 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 Jan 7, 2009; 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.