Provider Demographics
NPI:1194839878
Name:ATTENDING PHYSICIANS PA
Entity Type:Organization
Organization Name:ATTENDING PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:KUHNMUENCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-773-0450
Mailing Address - Street 1:7261 OHMS LN
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439
Mailing Address - Country:US
Mailing Address - Phone:952-843-4300
Mailing Address - Fax:952-843-4301
Practice Address - Street 1:1560 BEAM AVENUE
Practice Address - Street 2:
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55109
Practice Address - Country:US
Practice Address - Phone:651-773-0450
Practice Address - Fax:651-773-0458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RG0300X
MN1635207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNDC3503OtherRR MEDICARE
MN104970OtherHEALTHPARTNERS
MN165401OtherUCARE
MN690206500Medicaid
MN04-07224OtherMEDICA
MN272803600Medicaid
MN337M3ATOtherBLUE PLUS
MN690206500Medicaid
MN04-07224OtherMEDICA
MN337M3ATOtherBLUE PLUS