PROACTIVE HEALTHCARE
NPI 1891058384
General Practice in Saint Paul, MN

Active since June 19, 2012
101 5TH ST E, SUITE 227, SAINT PAUL, MN 55101(651) 778-0080(651) 778-0195 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Proactive Healthcare NPPES

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

PROACTIVE HEALTHCARE (NPI 1891058384) is a healthcare organization registered as a general practice in Saint Paul, Minnesota and active in the NPI registry since June 2012. The organization lists Nathan Burdash, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1891058384
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROACTIVE HEALTHCARE
Location Address101 5TH ST E, SUITE 227Saint Paul, MN 55101-1898
Mailing Address101 5th St E, Suite 227Saint Paul, MN 55101-1898 · (651) 778-0080 · Fax (651) 778-0195
Fax(651) 778-0195
Organization SubpartNo
Authorized OfficialNathan BurdashC.e.o. · (651) 778-0080
Enumeration DateJune 19, 2012
Last NPPES UpdateSeptember 27, 2012
NPI 1891058384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MN · 41988
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

101 5TH ST E, Saint Paul, MN 55101

Other Identifiers 3

Medicaid1891058384MN
Medicare UPIN1891058384MN
Medicare NSC6700580001MN

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

Accepted Insurance

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
101 5TH ST E, #2206
SAINT PAUL, MN 55101
Dentist (General Practice)
101 5TH ST E, SUITE 299
SAINT PAUL, MN 55101
Chiropractor
101 5TH ST E, SUITE227
SAINT PAUL, MN 55101
Chiropractor
101 5TH ST E, SUITE 227
SAINT PAUL, MN 55101
Dentist (General Practice)
101 5TH ST E, STE 299
SAINT PAUL, MN 55101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891058384, enumerated as an "organization" on June 19, 2012.

The provider is located at 101 5TH ST E SUITE 227 SAINT PAUL, MN 55101 and the phone number is (651) 778-0080.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.