1225105927 NPI number — LISA A POSEY MD

Table of content: LISA A POSEY MD (NPI 1225105927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225105927 NPI number — LISA A POSEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POSEY
Provider First Name:
LISA
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225105927
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6525FRANCE AVENUE S
Provider Second Line Business Mailing Address:
STE 325
Provider Business Mailing Address City Name:
EDINA
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55435-4538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-920-4595
Provider Business Mailing Address Fax Number:
952-920-7958

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6525 FRANCE AVENUE S
Provider Second Line Business Practice Location Address:
STE 25
Provider Business Practice Location Address City Name:
EDINA
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55435-4538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-920-4595
Provider Business Practice Location Address Fax Number:
952-920-7958
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  43553 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 045J6PO . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1329612 . This is a "ARAZ AMERICAN PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 43553 . This is a "LICENSE #" identifier . This identifiers is of the category "OTHER".
  • Identifier: XX1411029284 . This is a "PREFERRED ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000017 . This is a "MEDICA PRIMARY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141270D669 . This is a "UCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: HP33699 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000293 . This is a "MEDICA CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00025576 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com