Organization Active NPI

St Paul Primary Care

Doing business as Arcade Medical Clinic

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1912255456
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ST PAUL PRIMARY CARE
Doing business as
Arcade Medical Clinic
Practice address
651 Arcade St
Saint Paul, MN 55106-4518
Phone
(651) 771-5388
NPI assigned
Aug 15, 2012
Organization subpart
Yes
Parent organization
ST PAUL PRIMARY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Karen Lee, MDNPI 1477592467
Title
Physician
Phone
(651) 771-5388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MN Primary

Addresses

Primary practice location

651 Arcade St
Saint Paul, MN 55106-4518

Mailing address

651 Arcade St
Saint Paul, MN 55106-4518
Phone (651) 771-5388

Other names 1

  • Arcade Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Paul Primary Care2 organizations share this tax ID, including this one
Part of
St Paul Primary Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

651 Arcade St
Saint Paul, MN 55106
Phone (651) 771-5388

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1912255456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064518",
            "telephone_number": "651-771-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064518",
            "telephone_number": "651-771-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST PAUL PRIMARY CARE",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "651-771-5388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcade Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.