Organization Active NPI

Morningside Family Physicians

  • Clinic/Center
  • Edina, MN
National Provider Identifier
1992027007
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
31011 Issued in MN
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

Updated by the provider on Feb 17, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
080001827OtherMOMEDICARE ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0402512Morningside Family Physicians3920 Sunnyside Rd, Edina, MN 55424Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.