Addiction Care Physicians

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ADDICTION CARE PHYSICIANS

Practice address

4001 Stinson Blvd
Suite 212
Minneapolis, MN 55421-3488

Phone

(612) 788-2273

Fax

(612) 886-1939

NPI assigned

Apr 16, 2015

Organization subpart

No

Locations

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

Authorized official

Name

Dr. Sirri Atang Nomo-Ongolo, MD

Title

Administration

Phone

(612) 788-2273

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1962899013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 ROOSEVELT ST NE",
            "city": "ST ANTHONY VILLAGE",
            "state": "MN",
            "postal_code": "554181559",
            "telephone_number": "612-788-2273",
            "fax_number": "612-886-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STINSON BLVD",
            "address_2": "SUITE 212",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213488",
            "telephone_number": "612-788-2273",
            "fax_number": "612-886-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "NOMO-ONGOLO",
        "authorized_official_first_name": "SIRRI",
        "authorized_official_middle_name": "ATANG",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "612-788-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000000",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin Ray Adank, RN
• Adapthealth Minnesota LLC
• Audrey Adarna, MSW, LICSW
• Sadik Abdi Adawe
• Max Adderstone, DDS
• Addiction Care Practitioners, PA
• Hawa Ade, CD DONA
• Faith Oluwapelumi Adebayo, RN
• Sahra Deek Aded
• Tolulope Emmanuel Adediwura, APRN, CNP

• All providers in Minneapolis, MN
• Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.