Douglas Tate
M.D. | Pediatric Adolescent Medicine | Male
Douglas Tate, M.D. is a Edina, Minnesota based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Douglas Tate is
6545 France Ave S, Suite 400, Edina, Minnesota - 55435-2131. He can be contacted on phone at
952-920-9191 and fax number 952-920-0232.
Douglas Tate is a sole proprietor of his business.
NPI number (Unique professional ID) for Douglas Tate is
1659395283 which was assigned by NPPES on 27 Jul, 2006 and it was last updated on 08 Jul, 2007.
Douglas Tate license number is
26159 for Pediatrics Adolescent Medicine (2080A0000X) in Minnesota.
Douglas Tate specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Douglas Tate basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Douglas Tate |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Douglas Tate address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6545 France Ave S, Suite 400
Edina, MN, 55435-2131
United States |
|---|
| Phone Number : | 952-920-9191 |
|---|
| Fax Number : | 952-920-0232 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659395283 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 27 Jul, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas Tate are as mentioned. Primary taxonomy code for Douglas Tate, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 26159 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Douglas Tate such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1202983 | Other | | MEDICA |
| 17682TA | Other | MN | BLUE CROSS BLUE SHIELD |
| CP9020830005 | Other | | PREFERRED ONE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6545 France Ave S, Suite 400
Edina, MN, 55435-2131
United States |
|---|
| Phone Number : | 952-920-9191 |
|---|
| Fax Number : | 952-920-0232 |
|---|
Business Location:
Patients can refer following map for directions to
Douglas Tate practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.