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CPMG-ANDOVER PARK CLINIC
NPI 1639274160
Clinic/Center - Multi-Specialty in Andover, MN

Active since September 13, 2006
13819 HANSON BLVD NW, ANDOVER, MN 55304(763) 572-5710(763) 862-4415 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cpmg-andover Park Clinic NPPES

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

CPMG-ANDOVER PARK CLINIC (NPI 1639274160) is a healthcare organization registered as a multi-specialty in Andover, Minnesota and active in the NPI registry since September 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1639274160
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA
Location Address13819 HANSON BLVD NWAndover, MN 55304-7608
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Phone(763) 572-5710
Fax(763) 862-4415
Organization SubpartYes
Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 13, 2007
✔ NPI 1639274160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
13819 HANSON BLVD NW, Andover, MN 55304
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Other Names 1

Other NameCpmg-andover Park Clinic

Other Identifiers 9

OtherCT1003MN · Medicare Railroad
Other02071BRMN · Bcbs
Other122190MN · Ucare Mn
Medicare PINC00028
Other54814MN · Healthpartners
Medicare NSC0463570004MN
Other98-00470MN · Medica Number
Other98-66092MN · Medica Urgent Care
OtherUC0003MN · Ucare Urgent Care

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.

CHARITO M SANTOS MD
Family Medicine
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 392-4001
KELLY L NGUYEN APRN
Nurse Practitioner (Family)
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 392-4001
STEPHANIE LYNN PICHE NP-C
Nurse Practitioner (Primary Care)
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 392-4001
DR. STEPHEN WILLIAM ROBINSON M.D.
Family Medicine
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 572-5710
AREEN MAHRYA GORAYA MD
Pediatrics
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 392-4001
KRISTEN M KEHR PA-C
Physician Assistant
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 572-5700
MR. JOSEPH AARON GRAY WILKIE PA-C
Physician Assistant
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 392-4001
DR. LAURIE ANN MCLEOD-LORENCE M.D.
Family Medicine
13819 HANSON BLVD NW
ANDOVER, MN 55304
Anoka County (763) 572-5710

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 Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1639274160. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is also known as Cpmg-Andover Park Clinic.

Where is Columbia Park Medical Group, PA located?

Columbia Park Medical Group, PA is located at 13819 Hanson Blvd NW, Andover, MN 55304. The listed phone number is (763) 572-5710.

What is Columbia Park Medical Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Columbia Park Medical Group, PA was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.