1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Clinic Center
  6. NPI Profile

PEDIATRIC AND YOUNG ADULT MEDICINE, PA
NPI 1932316916
Clinic/Center - Primary Care in Saint Paul, MN

Active since May 17, 2007CLIA 24D0398909 · Accreditation
1804 7TH ST W, SUITE 200, SAINT PAUL, MN 55116(651) 227-7806(651) 256-6766 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric And Young Adult Medicine, Pa NPPES

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

PEDIATRIC AND YOUNG ADULT MEDICINE, PA (NPI 1932316916) is a healthcare organization registered as a primary care in Saint Paul, Minnesota and active in the NPI registry since May 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Terri M Joseph, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1932316916
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC AND YOUNG ADULT MEDICINE, PA
Location Address1804 7TH ST W, SUITE 200Saint Paul, MN 55116-2300
Mailing Address1804 7th St W, Suite 200Saint Paul, MN 55116-2300 · (651) 227-7806 · Fax (651) 256-6766
Phone(651) 227-7806
Fax(651) 256-6766
Organization SubpartNo
Authorized OfficialTerri M JosephClinic Administrator · (651) 256-6706
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 7, 2016
✔ NPI 1932316916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MN · 154
1804 7TH ST W, Saint Paul, MN 55116
Open in Google Maps ↗

Other Identifiers 10

Medicaid1912987900MN
Medicaid1861558835MN
Medicaid1083694046MN
Medicaid1497735419MN
Medicaid1477870921MN
Medicaid1104806165MN
Medicaid1386991339MN
Medicaid1245210095MN
Medicaid1245210210MN
Medicaid1881057065MN

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 24D0398909

Pediatric And Young Adult Medicine · Saint Paul, MN
Active · expires Dec 22, 2027
CLIA Number24D0398909
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorTammi Plotnik
Laboratory Phone(651) 227-7806
Laboratory LocationPediatric And Young Adult Medicine1804 7th Street W Suite 200, Saint Paul, MN 55116
CLIA data matches this NPI record on: Address Name Phone
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.

DR. RICHARD LOUIS BARON M.D.
Pediatrics
1804 7TH ST W, SUITE 200
SAINT PAUL, MN 55116
Ramsey County (651) 227-7806
DR. THOMAS D SIEFFERMAN MD
Pediatrics
1804 7TH ST W, SUITE 200
SAINT PAUL, MN 55116
Ramsey County (651) 227-7806
DR. DUANE C SKAR MD
Pediatrics
1804 7TH ST W
SAINT PAUL, MN 55116
Ramsey County (651) 227-7806
ELIZABETH MADDEN CPNP
Nurse Practitioner (Pediatrics)
1804 7TH ST W, SUITE 200
SAINT PAUL, MN 55116
Ramsey County (651) 227-7806
DR. CYNTHIA L GARR MD
Pediatrics
1804 7TH ST W, SUITE 200
SAINT PAUL, MN 55116
Ramsey County (651) 227-7806

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 Pediatric And Young Adult Medicine, PA's NPI number?

The NPI number for Pediatric And Young Adult Medicine, PA is 1932316916. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Pediatric And Young Adult Medicine, PA located?

Pediatric And Young Adult Medicine, PA is located at 1804 7th St W Suite 200, Saint Paul, MN 55116. The listed phone number is (651) 227-7806.

What is Pediatric And Young Adult Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatric And Young Adult Medicine, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0398909) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric And Young Adult Medicine, PA was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.