Joseph J. Pietrafitta, M.D.,P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1964477 Issued in MN

Legal business name

JOSEPH J. PIETRAFITTA, M.D.,P.A.

Practice address

9325 Upland LN N
Suite 205
Maple Grove, MN 55369-4470

Phone

(763) 416-0676

Fax

(763) 416-0476

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph James Pietrafitta, M.D.

Title

President/Ceo

Phone

(763) 416-0676

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1972549962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694470",
            "telephone_number": "763-416-0676",
            "fax_number": "763-416-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N",
            "address_2": "SUITE 205",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694470",
            "telephone_number": "763-416-0676",
            "fax_number": "763-416-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J. PIETRAFITTA, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "PIETRAFITTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "763-416-0676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MN",
            "license": "1964477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448914400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD ID",
            "identifier": "1M334PI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Nicole Jones, DPT
• Jordan Consulting and Counseling, LLC
• Elizabeth Jordan-O'Donnell, M.A., LPC
• Carly Jordan, PHARMD
• Tricia Cassatt Jorgenson, RN, BSN, PHN
• Kayla Joyer, FNP
• JS & Y Dedicated Health Care Services LLC
• Kathryn Kahoun
• Bria Kaiser, MDT
• Doreen Kalema

• Surgery Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.