NPIMap

Organization Active NPI

University of Minnesota

  • Medical Specialty Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1972864742
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
47339 Issued in MN
Legal business name
UNIVERSITY OF MINNESOTA
Practice address
420 Delaware St SE
MMC 295
Minneapolis, MN 55455-5001
Phone
(612) 626-2499
Fax
(612) 625-8488
NPI assigned
Jun 7, 2012
Last updated
Jun 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Dr. Peter Isaak Karachunski, MD
Title
Assistant Professor
Phone
(612) 626-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 47339 MN Primary

Addresses

Primary practice location

420 Delaware St SE
MMC 295
Minneapolis, MN 55455-5001

Mailing address

420 Delaware St SE
MMC 295
Minneapolis, MN 55455-5001
Phone (612) 626-2499

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1972864742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 295",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554555001",
            "telephone_number": "612-626-2499",
            "fax_number": "612-625-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "MMC 295",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554555001",
            "telephone_number": "612-626-2499",
            "fax_number": "612-625-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "KARACHUNSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ISAAK",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "612-626-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MN",
            "license": "47339",
            "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 Jun 7, 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.