PARK NICOLLET
NPI 1174975528
Clinic/Center in Maple Grove, MN

NPI Status: Active since July 11, 2016

Contact Information

9555 UPLAND LN N
MAPLE GROVE, MN
ZIP 55369
Phone: (952) 993-1440

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  • Organization
  • Clinic/Center

About PARK NICOLLET

This page provides the complete NPI Profile along with additional information for Park Nicollet, a provider established in Maple Grove, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1174975528 assigned on July 2016. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Bernt Helgaas M.d. (Medical Director Park Nicollet Mgrc)

NPI
1174975528
Provider Name
PARK NICOLLET
Entity Type
Organization
Location Address
9555 UPLAND LN N MAPLE GROVE, MN 55369
Location Phone
(952) 993-1440
Mailing Address
7102 OLIVE LN N MAPLE GROVE, MN 55311
Mailing Phone
(763) 494-4686
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2016
Last Update Date
07-11-2016
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BERNT HELGAAS M.D.

Authorized Official Title
MEDICAL DIRECTOR PARK NICOLLET MGRC
Authorized Official Phone
(952) 993-1440

Reviews for PARK NICOLLET

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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.
1174975528
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441871054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 8 + 7 + 1 + 0 + 5 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1174975528 is valid because the calculated check digit 8 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
1073627220 DANIEL KEELEY MD
Individual
Internal Medicine9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1023443629 NATASHA MARIE MILLS
Individual
Psychologist9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1710964705DR. GRETA B CHEN MD
Individual
Pediatrics9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1780038299 ELIZABETH PATRICIA KRATZ RN, APRN, AGNP
Individual
Nurse Practitioner (Adult Health)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1457663346 ERIN RACHEL MICHAEL FNP-BC
Individual
Nurse Practitioner (Family)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1528514932MR. DAVID CHOLLAR LICSW
Individual
Social Worker (Clinical)9555 UPLAND LN N BEHAVIORAL HEALTH, 3RD FLOOR
MAPLE GROVE, MN 55369
(952) 993-3307
1487168357 DUSTY RENEE HACKLER PHD
Individual
Psychologist (Clinical Child & Adolescent)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-3307
1124490578DR. TERESA BIEHN PH.D.
Individual
Psychologist (Clinical)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1568560688MR. GARY BERNARD ROSEN M.D.
Individual
Dermatology9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1275714974 SUSAN K H SALZL MA, LMFT
Individual
Marriage & Family Therapist9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-3307
1467012872 BETHANY WYSOCKI AUD
Individual
Audiologist9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1588769913 CAROLYN A MONTGOMERY PA-C
Individual
Physician Assistant9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1104266865 TARA BARRACK PA-C
Individual
Physician Assistant (Surgical)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1841722469 BRYNNE RAINIER WILSON LATTERELL M.D., M.P.H.
Individual
Family Medicine9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1720611148 MARIE A DIAZ VARONA PSYD, LP
Individual
Psychologist (Clinical)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1235741364RELEVIUM CHIROPRACTIC CARE PA
Organization
Chiropractor9555 UPLAND LN N
MAPLE GROVE, MN 55369
(612) 325-0308
1568453926 DAVID C SANDELL M.D.
Individual
Family Medicine9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 977-0275
1639102825 ROBERTA VAN AMBER PRIGGE
Individual
Family Medicine (Sports Medicine)9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 831-8742
1417198839DR. JEANNETTE A HEIDLBERG M.D.
Individual
Internal Medicine9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 993-1440
1255656229 GREGORY R HILDEBRAND M.D.
Individual
Orthopaedic Surgery9555 UPLAND LN N
MAPLE GROVE, MN 55369
(952) 806-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174975528, enumerated in the NPI registry as an "organization" on July 11, 2016

The provider is located at 9555 Upland Ln N Maple Grove, Mn 55369 and the phone number is (952) 993-1440

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on July 11, 2016. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.