Provider Demographics
NPI:1538138284
Name:NOREEN, JAMES P (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:NOREEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:1285 NININGER RD
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-1086
Practice Address - Country:US
Practice Address - Phone:651-480-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN20888207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN21934OtherAMERICAS PPO
MNHP16865OtherHEALTH PARTNERS
MNNA9141001147OtherPREFERRED ONE
MN598883700Medicaid
MN080115265OtherRAILROAD MEDICARE
MN01-00990OtherMEDICA
MN66-02250OtherMEDICA URGENT CARE
MN31309600OtherGROUP HEALTH EAU CLAIRE
MN31309600OtherMEDICAID WI
MN100054OtherUCARE MINNESOTA
MN4K543N0OtherBLUE CROSS
MN80020917Medicare PIN