Organization Active NPI

Sentinel Medical Associates, P.a.

  • Neurological Surgery Physician
  • Saint Paul, MN
National Provider Identifier
1962705111
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SENTINEL MEDICAL ASSOCIATES, P.A.
Practice address
514 Saint Peter St
Suite 220
Saint Paul, MN 55102-1001
Phone
(651) 287-8781
Fax
(651) 287-8782
NPI assigned
Dec 9, 2010
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Stacy Lee Davison
Title
Business Manager
Phone
(651) 287-8781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

514 Saint Peter St
Suite 220
Saint Paul, MN 55102-1001

Mailing address

514 Saint Peter St
Suite 220
Saint Paul, MN 55102-1001
Phone (651) 287-8781

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1962705111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SAINT PETER ST",
            "address_2": "SUITE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021001",
            "telephone_number": "651-287-8781",
            "fax_number": "651-287-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SAINT PETER ST",
            "address_2": "SUITE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021001",
            "telephone_number": "651-287-8781",
            "fax_number": "651-287-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-287-8781"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 2010; 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.