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JOHN HALVORSEN MD
NPI 1104830595
Family Medicine in St. Paul, MN

Active since July 28, 2006
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC, ST. PAUL, MN 55106(651) 772-3461(651) 772-5477 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Halvorsen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN HALVORSEN MD (NPI 1104830595) is an individual family medicine provider in St. Paul, Minnesota, licensed in Minnesota (20514) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104830595
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN HALVORSENCredential: MD
Location Address1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINICSt. Paul, MN 55106
Mailing Address720 Washington Ave Se, University Of Minnesota PhysiciansMinneapolis, MN 55414 · (612) 884-0649
Phone(651) 772-3461
Fax(651) 772-5477
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateFebruary 7, 2013
✔ NPI 1104830595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 20514
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1414 MARYLAND AVE E, St. Paul, MN 55106
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Other Identifiers 8

Other080154707IL · Railroad Medicare
OtherIL01P7IL · John Deere
Other025128IL · Health Alliance
Other472301IL · Healthlink
Other7215059IL · Bcbs Ppo
Medicare UPINA96143IL
Medicare ID-Type UnspecifiedK02954IL
Medicaid0360893132IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASILA AHMED OSMAN MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
CAITLYN BANGERT MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ABIGAIL ANN PSYCK MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. BROOKE ALEXANDRA KUTZ MD
General Practice
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
LINDA MOUA MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. SAMUEL OLSON MD
Family Medicine
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
KRISTOFER SETTERSTROM
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ANGELA JW SMITHSON MD
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Ramsey County (651) 772-3461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Halvorsen's NPI number?

The NPI number for John Halvorsen is 1104830595. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is John Halvorsen located?

John Halvorsen practices at 1414 Maryland Ave E Umphysicians Phalen Village Clinic, St. Paul, MN 55106. The listed phone number is (651) 772-3461.

What is John Halvorsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Halvorsen was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.