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NORTHEAST PEDIATRIC CLINIC P.A.
NPI 1730162371
Clinic/Center - Primary Care in Vadnais Heights, MN

Active since November 29, 2005
4520 CENTERVILLE RD, VADNAIS HEIGHTS, MN 55127(651) 426-1141(651) 426-1705 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Pediatric Clinic P.a. NPPES

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

NORTHEAST PEDIATRIC CLINIC P.A. (NPI 1730162371) is a healthcare organization registered as a primary care in Vadnais Heights, Minnesota and active in the NPI registry since November 2005. The organization lists Mary Ann Leukuma, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730162371
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTHEAST PEDIATRIC CLINIC P.A.
Location Address4520 CENTERVILLE RDVadnais Heights, MN 55127-3602
Mailing Address4520 Centerville RdVadnais Heights, MN 55127-3602 · (651) 426-1141 · Fax (651) 426-1705
Phone(651) 426-1141
Fax(651) 426-1705
Organization SubpartNo
Authorized OfficialMary Ann LeukumaCeo · (651) 426-1141
Enumeration DateNovember 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730162371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4520 CENTERVILLE RD, Vadnais Heights, MN 55127
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Other Providers at the Same Location NPPES 17

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

PIPE TRADE HEALTH CARE SERVICES
Family Medicine
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Ramsey County (651) 348-8851
DR. CATHERINE S. BEDFORD M.D.
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 426-1141
DR. MARY ANN LEUKUMA M.D.
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 426-1141
NORTHEAST DENTAL, P.A.
Dentist (General Practice)
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Ramsey County (651) 426-4799
JACK DAVITT BALDWIN D.D.S.
Dentist
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Ramsey County (651) 426-4799
NORTH SUBURBAN OPTICAL
Eyewear Supplier
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Ramsey County (763) 421-7420
MODERN DENTAL PROFESSIONALS MINNESOTA PC
Dentist (General Practice)
4520 CENTERVILLE RD
SAINT PAUL, MN 55127
Ramsey County (651) 426-4799
DR. KRISTIN G HEUERMANN M.D.
Pediatrics
4520 CENTERVILLE RD
VADNAIS HEIGHTS, MN 55127
Ramsey County (651) 426-1141

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 Northeast Pediatric Clinic P.A.'s NPI number?

The NPI number for Northeast Pediatric Clinic P.A. is 1730162371. It was assigned to this organization in the NPPES registry on November 29, 2005.

Where is Northeast Pediatric Clinic P.A. located?

Northeast Pediatric Clinic P.A. is located at 4520 Centerville Rd, Vadnais Heights, MN 55127. The listed phone number is (651) 426-1141.

What is Northeast Pediatric Clinic P.A.'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 Northeast Pediatric Clinic P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.