Edina Sports Health & Wellness, PA
NPI 1215010335ActiveOrganization· Family Medicine· Edina, MN
Family Medicine in Edina, Minnesota, registered in NPPES in October 2006. The authorized official on file is Rochelle R. Taube, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215010335 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Jan 24, 2022 |
| Certified by provider | Jan 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 37465 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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