Organization Active NPI

Doxa Healthcare LLC

Doing business as Doxa Healthcare

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1982297065
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOXA HEALTHCARE LLC
Doing business as
Doxa Healthcare
Practice address
1001 Johnson Pkwy Ste A1
Saint Paul, MN 55106-3655
Phone
(651) 888-8306
Fax
(651) 447-5369
NPI assigned
Feb 19, 2021
Last updated
Jan 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Authorized official

Name
Ramon Nola, MDNPI 1588193379
Title
Owner
Phone
(316) 208-1871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1001 Johnson Pkwy Ste A1
Saint Paul, MN 55106-3655

Mailing address

1901 Dieter St
Saint Paul, MN 55109-4413
Phone (651) 888-8306

Other names 1

  • Doxa Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1982297065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DIETER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551094413",
            "telephone_number": "651-888-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE A1",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063655",
            "telephone_number": "651-888-8306",
            "fax_number": "651-447-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOXA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "NOLA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-208-1871",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doxa Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doxa Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2022; 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.