St Paul Internal Medicine, NPI 1174617146
Internal Medicine Physician in St Paul, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1174617146
NPI Entity Type Organization
Provider Name St Paul Internal Medicine
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 514 St Peter Street, Suite 250, St Paul, MN, US
Provider Mailing Address 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN, US, 554302128
Is Sole Proprietor? No
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Organization Official

Official Name MD Elisabeth A Slattery
Official Position DOCTOR/OWNER
Phone 651-645-9600

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207R00000X

Taxonomy Name Internal Medicine Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 31392
License State MN
Description A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Organization Name

St Peter Street Internal Medicine
Doing Business As

Business Address

St Paul Internal Medicine
514 St Peter Street
Suite 250

St Paul, MN, US

Phone: 651-645-9600
Fax: 651-645-9605

Mailing Address

St Paul Internal Medicine
6200 Shingle Creek Pkwy
Suite 300
Brooklyn Center, MN, US
ZIP 554302128
Phone: 763-561-5986
Fax: 763-561-6280

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
10N38ST MN BCBS 01
0409583 MN MEDICA 01
DF1694 MN RAILROAD MEDICARE 01
938088400 MN MEDICAID 05
948448000 MN MEDICAID 05

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