1548209398 NPI number — KURT KARL SCHEURER M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548209398 NPI number — KURT KARL SCHEURER M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SCHEURER

Provider First Name:

KURT

Provider Middle Name:

KARL

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

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:

1548209398

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/21/2022

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

7505 METRO BLVD STE 400

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

EDINA

Provider Business Mailing Address State Name:

MN

Provider Business Mailing Address Postal Code:

55439-3010

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

612-573-2200

Provider Business Mailing Address Fax Number:

612-573-2274

Provider First Line Business Practice Location Address:

4801 W 81ST ST STE 108

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

BLOOMINGTON

Provider Business Practice Location Address State Name:

MN

Provider Business Practice Location Address Postal Code:

55437

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

952-837-9700

Provider Business Practice Location Address Fax Number:

952-837-9701

Provider Enumeration Date:

06/06/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085R0202X , with the licence number:  22949 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: HP14331 . This is a "HEALTHPARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 0554618 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 1616723 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 300085338 . This is a "RAILROAD MEDICARE MN" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 23008 . This is a "AMERICA'S PPO" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 30691000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
• Identifier: 970377200 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
• Identifier: 100705 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 1015811 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 40105SC . This is a "BLUE CROSS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 303G3SC . This is a "BLUE CROSS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".