Robert Roddy M.D. P.A.
LBN: Robert Roddy M.D. P.A.
Robert Roddy M.D. P.A. is an health care organization with primary practice located at 1690 University Ave W #120, St. Paul MN 55104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Robert Roddy M.D. P.A. can be contacted via phone (651) 999-0263, or through Roddy, Robert via phone (651) 999-0263.
Contact Information
Primary practice address
1690 University Ave W #120
St. Paul MN 55104
Phone: (651) 999-0263
Fax: (651) 999-0264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 31580 | Minnesota |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 31580 | Minnesota |
Profile Details
| NPI number | 1902137425 |
|---|---|
| LBN Legal business name | Robert Roddy M.D. P.A. |
| DBA Doing business as | |
| Authorized official | Roddy, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2010 |
| Last updated | Jan 22nd, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902137425 | NPPES |
| Minnesota | MEDICAID | 459888100 |
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