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CROWN OB/GYN PA
NPI 1316228489
Obstetrics & Gynecology in Woodbury, MN

Active since September 02, 2011
2056 WOODLANE DR, SUITE 100, WOODBURY, MN 55125(651) 209-0084(651) 209-0388 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crown Ob/gyn Pa NPPES

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

CROWN OB/GYN PA (NPI 1316228489) is a healthcare organization registered as an obstetrics & gynecology in Woodbury, Minnesota and active in the NPI registry since September 2011. The organization lists Jory M Burroughs, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1316228489
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCROWN OB/GYN PA
Location Address2056 WOODLANE DR, SUITE 100Woodbury, MN 55125-2917
Mailing Address2056 Woodlane Dr, Suite 100Woodbury, MN 55125-2917 · (651) 209-0084 · Fax (651) 209-0388
Phone(651) 209-0084
Fax(651) 209-0388
Organization SubpartNo
Authorized OfficialJory M BurroughsPresident / Owner · (651) 209-0084
Enumeration DateSeptember 2, 2011
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1316228489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 1817
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.
2056 WOODLANE DR, Woodbury, MN 55125
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Other Identifiers 2

Medicare PINC05980MN
Medicaid1316228489MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KUBEI HOLDINGS GROUP LLC
Home Health
2056 WOODLANE DR
WOODBURY, MN 55125
Washington County (651) 239-2062
EAST METRO FAMILY PRACTICE, P.A.
Family Medicine
2056 WOODLANE DR
WOODBURY, MN 55125
Washington County (651) 731-2020

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 Crown Ob/Gyn PA's NPI number?

The NPI number for Crown Ob/Gyn PA is 1316228489. It was assigned to this organization in the NPPES registry on September 2, 2011.

Where is Crown Ob/Gyn PA located?

Crown Ob/Gyn PA is located at 2056 Woodlane Dr Suite 100, Woodbury, MN 55125. The listed phone number is (651) 209-0084.

What is Crown Ob/Gyn PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Crown Ob/Gyn PA was last updated on September 18, 2012. 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.