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

NPI Status: Active since May 13, 2006

Contact Information

6401 UNIVERSITY AVE NE
SUITE 200
FRIDLEY, MN
ZIP 55432
Phone: (763) 572-5710
Fax: (763) 571-3008

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  • Organization
  • Family Medicine

About COLUMBIA PARK MEDICAL GROUP, PA

This page provides the complete NPI Profile along with additional information for Columbia Park Medical Group, Pa, a primary care provider established in Fridley, Minnesota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1932150117 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 147 (MN). The provider is registered as an organization and their NPI record was last updated 19 years ago. Columbia Park Medical Group, Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joen V Condon (Chief Financial Officer)

NPI
1932150117
Provider Name
COLUMBIA PARK MEDICAL GROUP, PA
Entity Type
Organization
Location Address
6401 UNIVERSITY AVE NE SUITE 200 FRIDLEY, MN 55432
Location Phone
(763) 572-5710
Location Fax
(763) 571-3008
Mailing Address
6401 UNIVERSITY AVE NE SUITE 200 FRIDLEY, MN 55432
Mailing Phone
(763) 572-5710
Mailing Fax
(763) 571-3008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-13-2006
Last Update Date
11-13-2007
Code Navigator

A primary care provider (PCP) like Columbia Park Medical Group, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
147
License State
MN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207K00000XAllopathic & Osteopathic Physicians

Allergy & Immunology

147 (MN)
2207N00000XAllopathic & Osteopathic Physicians

Dermatology

147 (MN)
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

147 (MN)
4207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

147 (MN)
5207RI0200XAllopathic & Osteopathic Physicians

Internal Medicine
Infectious Disease

147 (MN)
6207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

147 (MN)
7207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

147 (MN)
8207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

147 (MN)
9207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

147 (MN)
10208000000XAllopathic & Osteopathic Physicians

Pediatrics

147 (MN)
112083X0100XAllopathic & Osteopathic Physicians

Preventive Medicine
Occupational Medicine

147 (MN)
12208600000XAllopathic & Osteopathic Physicians

Surgery

147 (MN)
13208800000XAllopathic & Osteopathic Physicians

Urology

147 (MN)
14208M00000XAllopathic & Osteopathic Physicians

Hospitalist

147 (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOEN V CONDON

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(763) 586-5839

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C00028MEDICARE ID-TYPE UNSPECIFIED (04)MNWPS MEDICARE
02071BROTHER (01)MNBCBS OF MN
147OTHER (01)MNSTATE PROF. REGISTRATION
CT1003MEDICARE ID-TYPE UNSPECIFIED (04)MNMEDICARE RAILROAD
1014268OTHER (01)MNPREF ONE URGENT CARE #
AQ9091045486OTHER (01)MNPREFERRED ONE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932150117, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 2 + 5 + 0 + 1 + 2 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1932150117.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Clinical Nurse Specialist (Psychiatric/Mental Health)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Family Medicine
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Psychologist (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304 BHSI LLC
FRIDLEY, MN 55432
Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304 BHSI LLC
FRIDLEY, MN 55432
Psychologist (Clinical)
6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304
FRIDLEY, MN 55432
Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304 BHSI LLC
FRIDLEY, MN 55432
Psychologist
6401 UNIVERSITY AVE NE, SUITE 205
FRIDLEY, MN 55432
Dietitian, Registered
6401 UNIVERSITY AVE NE, SUITE 100
FRIDLEY, MN 55432
Physical Therapist
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Physical Therapy Assistant
6401 UNIVERSITY AVE NE, 105
FRIDLEY, MN 55432
Dietitian, Registered
6401 UNIVERSITY AVE NE, SUITE 200
FRIDLEY, MN 55432
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, #200
FRIDLEY, MN 55432
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, SUITE 100
FRIDLEY, MN 55432
Physical Therapist
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Physical Therapist
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Physical Therapist
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Community Health Worker
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Nurse Practitioner
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932150117, enumerated as an "organization" on May 13, 2006.

The provider is located at 6401 UNIVERSITY AVE NE SUITE 200 FRIDLEY, MN 55432 and the phone number is (763) 572-5710.

Family Medicine with taxonomy code 207Q00000X.

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