Northwind Lung Specialists, P.A. in Coon Rapids - Sleep Medicine
Northwind Lung Specialists, P.A. - NPI 1114068863
Northwind Lung Specialists, P.A. is a Sleep Medicine in Coon Rapids, Minnesota. Northwind Lung Specialists, P.A. practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Northwind Lung Specialists, P.A. is 1114068863. The last update date is 2011-01-21.
Northwind Lung Specialists, P.A.'s current location address is 3758 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7637469463. The mailing address for Northwind Lung Specialists, P.A. is 3758 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwind Lung Specialists, P.A. |
|---|---|
| Address | 3758 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Phone Number | 7637469463 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gensmer O Charles |
| Credentials | M.D. |
| Telephone Number | 7637469463 |
NPI Number Detail
| NPI Number | 1114068863 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2011-01-21 |
Provider Mailing Address Detail
| Address | 3758 Coon Rapids Blvd Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332629 |
| Phone Number | 7637469463 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Rs0012X |
| Licence No | 26057 |
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Definition: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep speciali |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG0937 | MN | RAILROAD MEDICARE | |
| C02727 | MN | WPS MEDICARE | |
| 198292300 | MN | MEDICAID | |
| 198292300 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northwind Lung Specialists, P.A. by the Centers for Medicare & Medicaid Services?
The Northwind Lung Specialists, P.A. has been issued the NPI (National Provider Identifier) 1114068863 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Northwind Lung Specialists, P.A. located?
The Northwind Lung Specialists, P.A. is located at 3758 Coon Rapids Blvd Nw, Coon Rapids, MN 554332629.
What is Northwind Lung Specialists, P.A.'s area of expertise and its corresponding taxonomy classification?
The Northwind Lung Specialists, P.A.'s field of specialization is Sleep Medicine, and it falls under the taxonomy code 207Rs0012X, which categorizes healthcare providers based on their areas of practice.
On what date did the Northwind Lung Specialists, P.A. receive the assignment of its 1114068863 from the Centers for Medicare & Medicaid Services?
The Northwind Lung Specialists, P.A. was issued its 1114068863 by the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date was the information regarding Northwind Lung Specialists, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northwind Lung Specialists, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-21.