Active NPI
Ralph Edwin Powell III, M.D.
- Emergency Medicine Physician
- Rochester, MN
National Provider Identifier
1902064314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 50707
- Practice address
- 200 1St St SW
Rochester, MN 55905-2210 - Phone
- (507) 284-2511
- NPI assigned
- Jun 2, 2008
- 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 | 50707 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-2210
Mailing address
200 1St St SW
Rochester, MN 55905-2210
Phone (507) 284-2511
Other practice location 1
5410 Grove St
Edina, MN 55436-2210
Phone (612) 229-9010
Other practice location 2
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Ep, PLLC | Current | Accepting new patients | |
| Phoenix Physician Group, PLLC | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Past | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Locations
3050 S Dobson Rd
Chandler, AZ 85248
Phone (480) 284-5867
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Gilbert, AZ
- NPI 1659039618
-
- Emergency Medical Services (Emergency Medicine) Physician
- Mesa, AZ
- NPI 1154898435
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1902064314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559052210",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559052210",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "5410 Grove St",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554362210",
"country_code": "US",
"telephone_number": "612-229-9010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Hewitt Blvd",
"address_purpose": "LOCATION",
"city": "Red Wing",
"state": "MN",
"postal_code": "550662848",
"country_code": "US",
"telephone_number": "651-267-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "RALPH",
"middle_name": "EDWIN",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-02",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "50707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.