| Vituity-minnesota, Llc | |
|
2000 Oakdale Ave West St Paul MN 55118-4662 | |
| (651) 554-9500 | |
| Not Available |
| Full Name | Vituity-minnesota, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Oakdale Ave, West St Paul, Minnesota |
| Authorized Official Name and Position | David Birdsall (PRESIDENT) |
| Authorized Official Contact | 5108517552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity-minnesota, Llc 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 350-2600 | Vituity-minnesota, Llc 2000 Oakdale Ave West St Paul MN 55118-4662 Ph: (651) 554-9500 |
| NPI Number | 1083367940 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 0042605347 |
|---|---|
| Medicare Enrollment ID | O20220324000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083367940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295804201 PECOS PAC ID: 6103826532 Enrollment ID: I20220324000125 |
| Provider Name | Marcelina Behnam-curry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710198262 PECOS PAC ID: 2860550415 Enrollment ID: I20220324000191 |
| Provider Name | Harris Schneider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639150709 PECOS PAC ID: 3678525854 Enrollment ID: I20220324001695 |
| Provider Name | Carolyn Lanam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942664552 PECOS PAC ID: 9739502089 Enrollment ID: I20220325002120 |
| Provider Name | Richard Newell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235298977 PECOS PAC ID: 9436243763 Enrollment ID: I20220328002200 |
| Provider Name | Vanessa Calderon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275854820 PECOS PAC ID: 0547487373 Enrollment ID: I20220404000983 |
| Provider Name | Rogelio Dawkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467443234 PECOS PAC ID: 8426093808 Enrollment ID: I20220404001380 |
| Provider Name | Johnson K Kwan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447540067 PECOS PAC ID: 1759512007 Enrollment ID: I20220405002816 |
| Provider Name | Joseph Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477847994 PECOS PAC ID: 5890011753 Enrollment ID: I20220405002882 |
| Provider Name | Tingting Ko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225058712 PECOS PAC ID: 8729158514 Enrollment ID: I20220412002938 |
| Provider Name | Rodolfo Zaragoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952329898 PECOS PAC ID: 7113900499 Enrollment ID: I20220422002058 |
| Provider Name | Brian Rhee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346290772 PECOS PAC ID: 0446263867 Enrollment ID: I20220506001996 |
| Provider Name | Jack Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033125299 PECOS PAC ID: 5395828974 Enrollment ID: I20220516001673 |
| Provider Name | John Bauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043328644 PECOS PAC ID: 7911803374 Enrollment ID: I20220524001204 |
| Provider Name | Bobbie Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275789190 PECOS PAC ID: 3678729100 Enrollment ID: I20220808000712 |
Allina Health West St Paul Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Emerson Ave E, West St Paul, MN 55118 Phone: 651-241-1800 Fax: 651-241-1826 | |
Children's West St. Paul Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 963 South Robert Street, West St Paul, MN 55118 Phone: 651-451-8050 Fax: 651-552-1575 | |
Entira Family Clinics-west St. Paul Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Wentworth Ave E, West St Paul, MN 55118 Phone: 651-788-4444 Fax: 651-455-3354 |