Active NPI
The Childrens Heart Clinic P,a
- Pediatric Cardiology Physician
- Minneapolis, MN
National Provider Identifier
1962580274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- Legal business name
- THE CHILDRENS HEART CLINIC P,A
- Practice address
- 2530 Chicago Ave
Suite 500
Minneapolis, MN 55404-4291 - Phone
- (612) 813-8800
- Fax
- (612) 813-8825
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sossia Miller Lake
- Title
- Clinic Operations Coordinator
- Phone
- (612) 813-8801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | Primary |
Addresses
Primary practice location
2530 Chicago Ave
Suite 500
Minneapolis, MN 55404-4291
Mailing address
2530 Chicago Ave
Suite 500
Minneapolis, MN 55404-4291
Phone (612) 813-8800
National Provider Directory
National Provider DirectoryLocations
4040 Coon Rapids Blvd NW
Ste 100
Coon Rapids, MN 55433
Phone (651) 917-6161
6060 Clearwater Dr
Ste 110
Minnetonka, MN 55343
Phone (612) 813-8800
347 Smith Ave N
Ste 603
Saint Paul, MN 55102
Phone (612) 813-8800
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Cardiology Physician
- Minneapolis, MN
- NPI 1437198223
-
- Pediatric Cardiology Physician
- Minneapolis, MN
- NPI 1235178484
-
- Pediatric Cardiology Physician
- Minneapolis, MN
- NPI 1518907500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1962580274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 CHICAGO AVE",
"address_2": "SUITE 500",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044291",
"telephone_number": "612-813-8800",
"fax_number": "612-813-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CHICAGO AVE",
"address_2": "SUITE 500",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044291",
"telephone_number": "612-813-8800",
"fax_number": "612-813-8825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHILDRENS HEART CLINIC P,A",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "LAKE",
"authorized_official_first_name": "SOSSIA",
"authorized_official_middle_name": "MILLER",
"authorized_official_title_or_position": "CLINIC OPERATIONS COORDINATOR",
"authorized_official_telephone_number": "612-813-8801",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.