Organization Active NPI

Twin Cities Medical Group PLLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Paul, MN
National Provider Identifier
1972912277
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TWIN CITIES MEDICAL GROUP PLLC
Practice address
2785 White Bear Ave N
Ste 108-D
Saint Paul, MN 55109-1307
Phone
(651) 289-0352
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Dr. Marvin Swanson, MDNPI 1760470801
Title
Owner
Phone
(651) 289-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2785 White Bear Ave N
Ste 108-D
Saint Paul, MN 55109-1307

Mailing address

2785 White Bear Ave N
Ste 108-D
Saint Paul, MN 55109-1307
Phone (651) 289-0352

National Provider Directory

National Provider Directory

Locations

2785 White Bear Ave N
Ste 108D
Saint Paul, MN 55109
Phone (651) 289-0352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1972912277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "STE 108-D",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-289-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "STE 108-D",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-289-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-289-0352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "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 Aug 13, 2014; 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.