ALLINA HEALTH EAGAN WOMEN'S HEALTH CLINIC
NPI 1275839912
Obstetrics & Gynecology in Eagan, MN

Q: What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1275839912. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Eagan Women's Health Clinic.

Q: What is Allina Health System's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since January 27, 2011CLIA 24D1048160 · Waiver

2805 DODD RD STE 100, EAGAN, MN 55121(651) 241-7733(651) 241-0258 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Sep 1, 2020, Nov 22, 2019 and 3 more (6 updates tracked since 2016).

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About Allina Health Eagan Women's Health Clinic NPPES

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

ALLINA HEALTH EAGAN WOMEN'S HEALTH CLINIC (NPI 1275839912) is a healthcare organization registered as an obstetrics & gynecology in Eagan, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1275839912

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameALLINA HEALTH SYSTEM

Location Address2805 DODD RD STE 100Eagan, MN 55121-2160

Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166

Phone(651) 241-7733

Fax(651) 241-0258

Organization SubpartNo

Authorized OfficialDominica TallaricoCoo · (612) 222-2222

Enumeration DateJanuary 27, 2011

Last NPPES UpdateJanuary 16, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1275839912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2805 DODD RD STE 100, Eagan, MN 55121

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Other Names 1

Doing Business AsAllina Health Eagan Women's Health Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 24D1048160

Allina Health Eagan Women's Health Clinic · Eagan, MN

Active · expires Oct 27, 2026

CLIA Number24D1048160

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 28, 2024

Certificate Expiration DateOctober 27, 2026

Laboratory DirectorMilton W. Datta

Laboratory Phone(612) 863-0408

Laboratory LocationAllina Health Eagan Women's Health Clinic2805 Dodd Road, Suite 100, Eagan, MN 55121

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

ELIZABETH ANN PESEK MD

Obstetrics & Gynecology