PARK AVE FAMILY PRACTICE
NPI 1770972382
Clinic/Center - Primary Care in South St Paul, MN
About Park Ave Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK AVE FAMILY PRACTICE (NPI 1770972382) is a healthcare organization registered as a primary care in South St Paul, Minnesota and active in the NPI registry since January 2015. The organization lists Karen Lee, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 St Paul Primary Care's NPI number?
The NPI number for St Paul Primary Care is 1770972382. It was assigned to this organization in the NPPES registry on January 20, 2015. The provider is doing business as Park Ave Family Practice.
Where is St Paul Primary Care located?
St Paul Primary Care is located at 1345 Thompson Ave, South St Paul, MN 55075. The listed phone number is (651) 451-2711.
What is St Paul Primary Care'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 St Paul Primary Care was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Park Ave Family Practice · NPI 1770972382
Primary Care organization in South St Paul, Minnesota. Organization record, active in the CMS NPPES registry since January 20, 2015.
## Identity
- **NPI:** 1770972382 (Entity type: Organization)
- **Enumerated:** January 20, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** St Paul Primary Care
- **Organization subpart:** Yes (part of St Paul Primary Care)
- **Authorized official:** Karen Lee, MD
## Practice location
- **Address:** 1345 THOMPSON AVE, South St Paul, MN 55075-1410
- **Phone:** (651) 451-2711
## Record status
- **NPPES last updated:** January 20, 2015
- **Other identifiers:** Medicaid 100025256 (MN); Other 080022382 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1770972382) · Data from the CMS NPPES public registry.