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 | Richard Newell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235298977 PECOS PAC ID: 9436243763 Enrollment ID: I20220328002200 |
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 |