MINNESOTA ONCOLOGY HEMATOLOGY, PA
NPI 1114430089
Internal Medicine - Hematology & Oncology in Woodbury, MN

Active since November 14, 2017CLIA Certified · 2 labs
6025 LAKE RD STE 200, WOODBURY, MN 55125(651) 999-6982 Get Directions Write a Review

NPPES record last updated: November 14, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Minnesota Oncology Hematology, Pa NPPES

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

MINNESOTA ONCOLOGY HEMATOLOGY, PA (NPI 1114430089) is a healthcare organization registered as a hematology & oncology in Woodbury, Minnesota and active in the NPI registry since November 2017. The organization holds 2 active CLIA laboratory certificates and lists Pamela Ann Post, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114430089
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMINNESOTA ONCOLOGY HEMATOLOGY, PA
Location Address6025 LAKE RD STE 200Woodbury, MN 55125-1710
Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-2001 · (651) 602-5335 · Fax (651) 665-9799
Organization SubpartNo
Authorized OfficialPamela Ann PostCredentialing Coordinator · (651) 602-5311
Enumeration DateNovember 14, 2017
NPI 1114430089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MN · 1076
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

6025 LAKE RD STE 200, Woodbury, MN 55125

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0398791

Minnesota Oncology Hematology PA · Saint Paul, MN
Active · expires Dec 22, 2027
CLIA Number24D0398791
Laboratory TypePractitioner Other
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorBen Zhang
Laboratory Phone(651) 224-8908
Laboratory LocationMinnesota Oncology Hematology PA2550 University Ave W Suite 105 N, Saint Paul, MN 55114
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 24D1002396

Minnesota Oncology Hematology PA · Woodbury, MN
Active · expires Oct 15, 2027
CLIA Number24D1002396
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. Gauri G. Nagargoje
Laboratory Phone(651) 602-5359
Laboratory LocationMinnesota Oncology Hematology PA6025 Lake Road Suite 110, Woodbury, MN 55125
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Nurse Practitioner (Adult Health)
6025 LAKE RD STE 200
WOODBURY, MN 55125
Physician Assistant
6025 LAKE RD STE 200
WOODBURY, MN 55125
Nurse Practitioner (Family)
6025 LAKE RD STE 200
WOODBURY, MN 55125
Clinical Nurse Specialist
6025 LAKE RD STE 200
WOODBURY, MN 55125
Clinic/Center (Rehabilitation)
6025 LAKE RD STE 200
WOODBURY, MN 55125
Physician Assistant
6025 LAKE RD STE 200
WOODBURY, MN 55125
Physician Assistant
6025 LAKE RD STE 200
WOODBURY, MN 55125
Physician Assistant
6025 LAKE RD STE 200
WOODBURY, MN 55125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114430089, enumerated as an "organization" on November 14, 2017.

The provider is located at 6025 LAKE RD STE 200 WOODBURY, MN 55125 and the phone number is (651) 999-6982.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.