ST. PAUL SURGEONS, LTD.
NPI 1083679484
Specialist in Maplewood, MN
NPI Status: Active since April 19, 2006
Contact Information
1655 BEAM AVE
STE 302
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 227-6351
Fax: (651) 227-1134
- Organization
- Specialist
- CLIA Number: 24D1034582
- CLIA Cert. Type: Other - OP IMAGING CENTER
- CLIA Exp. Date: 01-08-2026
About ST. PAUL SURGEONS, LTD.
This page provides the complete NPI Profile along with additional information for St. Paul Surgeons, Ltd., a provider established in Maplewood, Minnesota operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1083679484 assigned on April 2006. The practitioner's primary taxonomy code is 174400000X with license number 53 (MN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Peter H Kelly M.d. (Partner)
- NPI
- 1083679484
- Provider Name
- ST. PAUL SURGEONS, LTD.
- Entity Type
- Organization
- Location Address
- 1655 BEAM AVE STE 302 MAPLEWOOD, MN 55109
- Location Phone
- (651) 227-6351
- Location Fax
- (651) 227-1134
- Mailing Address
- 1655 BEAM AVE STE 302 MAPLEWOOD, MN 55109
- Mailing Phone
- (651) 227-6351
- Mailing Fax
- (651) 227-1134
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-19-2006
- Last Update Date
- 10-31-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 53
- License State
- MN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C00257 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D1034582
- Facility Type
- Other - OP IMAGING CENTER
- Certificate Effective Date
- January 09, 2024
- Certificate Expiration Date
- January 08, 2026
- Laboratory Director
- SUSAN M. STOLTZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St. Paul Surgeons, Ltd. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 7 | 9 | 4 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 7 | 18 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 7 + 1 + 8 + 4 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1083679484 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144217399 | AARON KURTISS KIRKEMO M.D. Individual | Urology | 1655 BEAM AVE SUITE 206 MAPLEWOOD, MN 55109 (651) 999-6896 |
| 1437135936 | AMY ELIZABETH KELLY MD Individual | Obstetrics & Gynecology | 1655 BEAM AVE NUMBER 102 MAPLEWOOD, MN 55109 (651) 770-1385 |
| 1649248352 | JOELLE I KNOPF NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1609844315 | SHARON P ROZNICK NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1164490868 | CATHERINE M OMAN NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1598733206 | SANDRA ELAINE GERBER NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1962470302 | JAMES R SNYDER PA Individual | Physician Assistant | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1306805312 | RHONDA S FENDER NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7031 |
| 1346209343 | DEBRA ANN GUTZMAN NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7031 |
| 1598725624 | TERRI L NAROW NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7031 |
| 1134180375 | RACHEL A BYE MD Individual | Pediatrics | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7800 |
| 1548221146 | JOHN F KELLY MD Individual | Pediatrics | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7800 |
| 1730141946 | JILL E PAGENKOPF NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1184686818 | SARAH O COLWELL MD Individual | Pediatrics | 1655 BEAM AVE SUITE 202 MAPLEWOOD, MN 55109 (651) 232-7800 |
| 1942262670 | JAMES L PRALL MD Individual | Pediatrics | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7800 |
| 1447213350 | SUSAN LEE NNP Individual | Nurse Practitioner (Neonatal) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7831 |
| 1083677827 | NANCY R ANDERSON CPNP Individual | Nurse Practitioner (Pediatrics) | 1655 BEAM AVE SUITE 302 MAPLEWOOD, MN 55109 (651) 232-7800 |
| 1891753828 | NANCY C GRANDT CNP Individual | Nurse Practitioner | 1655 BEAM AVE SUITE 202 MAPLEWOOD, MN 55109 (651) 232-7800 |
| 1144326943 | VIRGINIA L REUTIMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1655 BEAM AVE SAINT PAUL, MN 55109 (651) 735-0501 |
| 1093814089 | MARY L HASECUSTER CRNA Individual | Nurse Anesthetist, Certified Registered | 1655 BEAM AVE MAPLEWOOD, MN 55109 (651) 735-0501 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083679484, enumerated in the NPI registry as an "organization" on April 19, 2006
The provider is located at 1655 Beam Ave Ste 302 Maplewood, Mn 55109 and the phone number is (651) 227-6351
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 24D1034582 for a "other - op imaging center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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