NPI Verification
National Provider Identifier: 1932150117
Columbia Park Medical Group, PA
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (15)
Dermatology
Code: 207N00000X
Allergy & Immunology
Code: 207K00000X
Internal Medicine
Code: 207R00000X
Internal Medicine, Endocrinology, Diabetes & Metabolism
Code: 207RE0101X
Internal Medicine, Infectious Disease
Code: 207RI0200X
Obstetrics & Gynecology
Code: 207V00000X
Ophthalmology
Code: 207W00000X
Orthopaedic Surgery
Code: 207X00000X
Otolaryngology
Code: 207Y00000X
Pediatrics
Code: 208000000X
Preventive Medicine, Occupational Medicine
Code: 2083X0100X
Surgery
Code: 208600000X
Urology
Code: 208800000X
Hospitalist
Code: 208M00000X
Family Medicine
Code: 207Q00000X
Practice Address
6401 UNIVERSITY AVE NE
SUITE 200
FRIDLEY, MN 554324341
Phone: 763-572-5710
NPI Enumeration Date
May 13, 2006
NPI Number
1932150117Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry