SOUTHDALE PEDIATRIC ASSOCIATES, LTD
NPI 1245305895
Clinic/Center - Multi-Specialty in Edina, MN

NPI Status: Active since November 21, 2006

Contact Information

3955 PARKLAWN AVE
STE 120
EDINA, MN
ZIP 55435
Phone: (952) 831-1944
Fax: (952) 278-6947

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About SOUTHDALE PEDIATRIC ASSOCIATES, LTD

This page provides the complete NPI Profile along with additional information for Southdale Pediatric Associates, Ltd, a provider established in Edina, Minnesota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1245305895 assigned on November 2006. The practitioner's primary taxonomy code is 261QM1300X with license number 196 (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Vicki Oster Md (President)

NPI
1245305895
Provider Name
SOUTHDALE PEDIATRIC ASSOCIATES, LTD
Entity Type
Organization
Location Address
3955 PARKLAWN AVE STE 120 EDINA, MN 55435
Location Phone
(952) 831-1944
Location Fax
(952) 278-6947
Mailing Address
3955 PARKLAWN AVE STE 120 EDINA, MN 55435
Mailing Phone
(952) 831-1944
Mailing Fax
(952) 278-6947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
08-22-2020
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
196
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. VICKI OSTER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(952) 831-1944

Reviews for SOUTHDALE PEDIATRIC ASSOCIATES, LTD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1245305895
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22856010818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 0 + 1 + 0 + 8 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1245305895 is valid because the calculated check digit 5 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
1396748307LIFESCAN MINNESOTA LLC
Organization
Clinic/Center (Radiology)3955 PARKLAWN AVE STE 110
EDINA, MN 55435
(952) 893-1997
1851304547DR. DEBORAH LYNN BUCHMAN MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1740393875DR. THOMAS VERNON LEFEVERE MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1295848000DR. THOMAS PATRICK BODINE MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1851404644DR. DAVID PAUL MILLER MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1073626982DR. KARL KNOX WILLIAMS JR. MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1992818884DR. MARIUS KRISTUPAITIS MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1902919798DR. JASON JOHN KOCH MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1760597207DR. DAVID CHARLES SCHROECKENSTEIN MD
Individual
Allergy & Immunology3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1750496386DR. SHERI LYNN WILLIAMS MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1083729537DR. PAUL MITCHELL BLUM MD
Individual
Allergy & Immunology3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1891893996DR. SONJA W HINRICHS MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1194823286DR. CAROL M CARLSON MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1144328253DR. DONNA C HOFFMAN MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1922106046DR. LORI M SKALLERUD MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1275631350DR. SARAH D BRANDT MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1396843405DR. MARY J LAWLER MD
Individual
Pediatrics3955 PARKLAWN AVE STE 120
EDINA, MN 55435
(952) 831-1944
1992975494DR. KRISTA ROSE HAGEN M.D.
Individual
Pediatrics3955 PARKLAWN AVE SUITE 120
EDINA, MN 55435
(952) 831-4454
1528291168 KAREN E TAMTE
Individual
Pediatrics3955 PARKLAWN AVE SUITE 120
EDINA, MN 55435
(952) 831-1944
1790002889 MEGAN LANDRY STALPES M.D.
Individual
Pediatrics3955 PARKLAWN AVE
EDINA, MN 55435
(952) 831-4454

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245305895, enumerated in the NPI registry as an "organization" on November 21, 2006

The provider is located at 3955 Parklawn Ave Ste 120 Edina, Mn 55435 and the phone number is (952) 831-1944

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 21, 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].
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.