COLUMBIA PARK MEDICAL GROUP, PA
NPI 1932150117
Family Medicine in Fridley, MN

Q: What is Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1932150117. It was assigned to this organization in the NPPES registry on May 13, 2006.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 13, 2006

6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432(763) 572-5710(763) 571-3008 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Columbia Park Medical Group, Pa NPPES

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

COLUMBIA PARK MEDICAL GROUP, PA (NPI 1932150117) is a healthcare organization registered as a family medicine in Fridley, Minnesota and active in the NPI registry since May 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1932150117

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA

Location Address6401 UNIVERSITY AVE NE, SUITE 200Fridley, MN 55432-4341

Mailing Address6401 University Ave Ne, Suite 200Fridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008

Phone(763) 572-5710

Fax(763) 571-3008

Organization SubpartNo

Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839

Enumeration DateMay 13, 2006

Last NPPES UpdateNovember 13, 2007

✔ NPI 1932150117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 147

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 147 (MN)

Also ListedDermatologyTaxonomy 207N00000X · License 147 (MN)

Also ListedInternal MedicineTaxonomy 207R00000X · License 147 (MN)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 147 (MN)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 147 (MN)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 147 (MN)

Also ListedOphthalmologyTaxonomy 207W00000X · License 147 (MN)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 147 (MN)

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 147 (MN)

Also ListedPediatricsTaxonomy 208000000X · License 147 (MN)

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 147 (MN)

Also ListedSurgeryTaxonomy 208600000X · License 147 (MN)

Also ListedUrologyTaxonomy 208800000X · License 147 (MN)

Also ListedHospitalistTaxonomy 208M00000X · License 147 (MN)

6401 UNIVERSITY AVE NE, Fridley, MN 55432

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Other Identifiers 6

Medicare ID-Type UnspecifiedC00028MN · Wps Medicare

Other02071BRMN · Bcbs Of Mn

Other147MN · State Prof. Registration

Medicare ID-Type UnspecifiedCT1003MN · Medicare Railroad

Other1014268MN · Pref One Urgent Care #

OtherAQ9091045486MN · Preferred One

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

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.

CHARLETTE KAY CARLOTTO LICSW

Social Worker (Clinical)

6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432

Anoka County (651) 769-6250

AMY MOORE RN CDE

Registered Nurse (Diabetes Educator)

6401 UNIVERSITY AVE NE, SUITE 100
FRIDLEY, MN 55432

Anoka County (763) 502-4877

MISS CHANTEL NOEL OLSON APRN, CNP, FNP-BC

Nurse Practitioner (Family)

6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432

Anoka County (763) 586-5844

JOSHUA JAMES THOM MD

Otolaryngology

6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432

Anoka County (763) 586-5923

FAIRVIEW EXPRESS CARE

Internal Medicine (Cardiovascular Disease)

6401 UNIVERSITY AVE NE, SECOND FLOOR
FRIDLEY, MN 55432

Anoka County (763) 502-6602

JUDITH M. NELSON RN, CNS

Clinical Nurse Specialist (Psychiatric/Mental Health)

6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432

Anoka County (651) 769-6250

LAURA SUE HENSON PSYD LP

Psychologist (Clinical)

6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304
FRIDLEY, MN 55432

Anoka County (651) 769-6250

IAN J LALICH MD

Otolaryngology

6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432

Anoka County (612) 626-5900

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 1932150117. It was assigned to this organization in the NPPES registry on May 13, 2006.

Where is Columbia Park Medical Group, PA located?

Columbia Park Medical Group, PA is located at 6401 University Ave NE Suite 200, Fridley, MN 55432. 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 Family Medicine with taxonomy code 207Q00000X.

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.