Active NPI
Morningside Family Physicians
- Clinic/Center
- Edina, MN
National Provider Identifier
1992027007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 31011
- Legal business name
- MORNINGSIDE FAMILY PHYSICIANS
- Practice address
- 3920 Sunnyside Rd
Edina, MN 55424-1211 - Phone
- (952) 926-3002
- Fax
- (952) 926-7744
- NPI assigned
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Alden Sidell, M.
- Title
- President
- Phone
- (952) 926-3002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 31011 | MN | Primary |
Addresses
Primary practice location
3920 Sunnyside Rd
Edina, MN 55424-1211
Mailing address
3920 Sunnyside Rd
Edina, MN 55424-1211
Phone (952) 926-3002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080001827 | Other | MO | MEDICARE ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0402512 | Morningside Family Physicians | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
3920 Sunnyside Rd
Edina, MN 55424
Phone (952) 926-3002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266364800000",
"number": "1992027007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 SUNNYSIDE RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554241211",
"telephone_number": "952-926-3002",
"fax_number": "952-926-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 SUNNYSIDE RD",
"city": "EDINA",
"state": "MN",
"postal_code": "554241211",
"telephone_number": "952-926-3002",
"fax_number": "952-926-7744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNINGSIDE FAMILY PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-17",
"last_updated": "2010-02-17",
"status": "A",
"authorized_official_last_name": "SIDELL",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "ALDEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "952-926-3002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "31011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "080001827",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.