Pediatric and Young Adult Medicine, PA
NPI 1205078300 · Primary Care Clinic/Center · Eagan, MN
Pediatric and Young Adult Medicine, PA is a Primary Care Clinic/Center organization in Eagan, MN (NPI 1205078300).
Provider details
- NPI number
- 1205078300
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terri Joseph, Office Manager(651) 256-6706
- License
- 154 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2016-12-07
Frequently asked questions
- What is Pediatric and Young Adult Medicine, PA's NPI number?
- Pediatric and Young Adult Medicine, PA's National Provider Identifier (NPI) is 1205078300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric and Young Adult Medicine, PA?
- Pediatric and Young Adult Medicine, PA is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric and Young Adult Medicine, PA located?
- Pediatric and Young Adult Medicine, PA's practice location on file with NPPES is 3470 Washington Dr, Eagan, MN 55122-1355.
- What is Pediatric and Young Adult Medicine, PA's phone number?
- The practice phone number listed in the NPPES registry for Pediatric and Young Adult Medicine, PA is (651) 256-6706.
- Who is the authorized official for Pediatric and Young Adult Medicine, PA?
- The authorized official listed on Pediatric and Young Adult Medicine, PA's NPPES record is Terri Joseph, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric and Young Adult Medicine, PA's NPI active?
- Yes — Pediatric and Young Adult Medicine, PA's NPI (1205078300) is active in the NPPES registry as of the last update on 2016-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.