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PEDIATRIC AND YOUNG ADULT MEDICINE, PA
NPI 1205078300
Clinic/Center - Primary Care in Eagan, MN

Active since April 03, 2009
3470 WASHINGTON DR, SUITE 201, EAGAN, MN 55122(651) 256-6706(651) 256-6766 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric And Young Adult Medicine, Pa NPPES

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

PEDIATRIC AND YOUNG ADULT MEDICINE, PA (NPI 1205078300) is a healthcare organization registered as a primary care in Eagan, Minnesota and active in the NPI registry since April 2009. The organization lists Terri M Joseph, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205078300
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC AND YOUNG ADULT MEDICINE, PA
Location Address3470 WASHINGTON DR, SUITE 201Eagan, MN 55122-1355
Mailing Address1804 7th St W, Suite 200Saint Paul, MN 55116-2300 · (651) 256-6706 · Fax (651) 256-6766
Phone(651) 256-6706
Fax(651) 256-6766
Organization SubpartNo
Authorized OfficialTerri M JosephOffice Manager · (651) 256-6706
Enumeration DateApril 3, 2009
Last NPPES UpdateDecember 7, 2016
✔ NPI 1205078300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MN · 154
3470 WASHINGTON DR, Eagan, MN 55122
Open in Google Maps ↗

Other Identifiers 10

Medicaid1477870921MN
Medicaid1245210210MN
Medicaid1104806165MN
Medicaid1245210095MN
Medicaid1497735419MN
Medicaid1861558835MN
Medicaid1912987900MN
Medicaid1881057065MN
Medicaid1083694046MN
Medicaid1386991339MN

Other Providers at the Same Location NPPES 3

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

WORLD PEDIATRICS
Pediatrics
3470 WASHINGTON DR, SUITE 201
EAGAN, MN 55122
Dakota County (651) 454-7371
TWIN CITIES RELATIONSHIP CENTER
Clinic/Center (Adult Mental Health)
3470 WASHINGTON DR, SUITE 122
EAGAN, MN 55122
Dakota County (651) 452-1557
DAWN MARIE GALLAGHER LADC, BA
Counselor (Addiction (Substance Use Disorder))
3470 WASHINGTON DR
EAGAN, MN 55122
Dakota County (612) 454-2248

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 Pediatric And Young Adult Medicine, PA's NPI number?

The NPI number for Pediatric And Young Adult Medicine, PA is 1205078300. It was assigned to this organization in the NPPES registry on April 3, 2009.

Where is Pediatric And Young Adult Medicine, PA located?

Pediatric And Young Adult Medicine, PA is located at 3470 Washington Dr Suite 201, Eagan, MN 55122. The listed phone number is (651) 256-6706.

What is Pediatric And Young Adult Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pediatric And Young Adult Medicine, PA was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.