OrganizationActive
Minnesota Oncology Hematology, PA
NPI 1114430089 · Hematology & Oncology Physician · Woodbury, MN
Provider details
- NPI number
- 1114430089
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Post, Credentialing Coordinator(651) 602-5311
- License
- 1076 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6025 Lake Rd Ste 200
Woodbury, MN 55125-1710
Phone: (651) 999-6982
Street-level locationGet directions
Mailing address
2550 University Ave W Ste 110n
Saint Paul, MN 55114-2001
Registry dates
- Enumerated
- 2017-11-14
- Last updated
- 2017-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.