MINNESOTA ONCOLOGY HEMATOLOGY PA - NPI 1790494318 - Internal Medicine in Maple Grove, MN

Q: What is Minnesota Oncology Hematology PA's NPI number?

The NPI number for Minnesota Oncology Hematology PA is 1790494318. It was assigned to this organization in the NPPES registry on November 22, 2022.

Q: What is Minnesota Oncology Hematology PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

On this page

About Minnesota Oncology Hematology Pa NPPES

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

MINNESOTA ONCOLOGY HEMATOLOGY PA (NPI 1790494318) is a healthcare organization registered as a hematology & oncology in Maple Grove, Minnesota and active in the NPI registry since November 2022. The organization holds an CLIA Accreditation certificate valid through November 6, 2027 and lists Amy Stoffel, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790494318

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameMINNESOTA ONCOLOGY HEMATOLOGY PA

Location Address10150 NIAGARA LN N STE 100Maple Grove, MN 55369-7588

Mailing Address2550 University Ave W Ste 110nSaint Paul, MN 55114-8693 · (651) 602-5312

Phone(844) 317-4673

Organization SubpartNo

Authorized OfficialAmy StoffelBusiness Office Manager · (651) 602-5335

Enumeration DateNovember 22, 2022

NPPES CertifiedNovember 22, 2022

✔ NPI 1790494318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedGenetic Counselor, MSTaxonomy 170300000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

10150 NIAGARA LN N STE 100, Maple Grove, MN 55369

Open in Google Maps ↗

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

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 Accreditation 24D2272467

Minnesota Oncology - Maple Grove · Maple Grove, MN

Active · expires Nov 6, 2027

CLIA Number24D2272467

Laboratory TypePhysician Office

Certificate Effective DateNovember 7, 2025

Certificate Expiration DateNovember 6, 2027

Laboratory DirectorDr. Girum Lemma

Laboratory Phone(651) 602-5359

Laboratory LocationMinnesota Oncology - Maple Grove10150 Niagara Ln N, Suite 100, Maple Grove, MN 55369

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

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

LAUREN BACHNICK WITEBSKY APRN

Nurse Practitioner (Acute Care)