Provider Demographics
NPI:1356439277
Name:RESPIRATORY CONSULTANTS PA
Entity Type:Organization
Organization Name:RESPIRATORY CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:G
Authorized Official - Last Name:NORBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-398-2203
Mailing Address - Street 1:3366 OAKDALE AVE N
Mailing Address - Street 2:SUITE 605
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-5700
Mailing Address - Country:US
Mailing Address - Phone:763-520-2940
Mailing Address - Fax:763-520-2942
Practice Address - Street 1:3366 OAKDALE AVE N
Practice Address - Street 2:SUITE 605
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-5700
Practice Address - Country:US
Practice Address - Phone:763-520-2940
Practice Address - Fax:763-520-2942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN065523600Medicaid
4880127OtherMEDICA
MNCN4388OtherRAILROAD MEDICARE
MNC 01772Medicare ID - Type Unspecified
C01772Medicare PIN
MNCN4388Medicare PIN