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JOHN GEOFFREY WAHLSTROM M.D., NPI 1104823335

Allergy & Immunology in SAINT PAUL, MN

Last Updated on : Jan 23,2013

JOHN GEOFFREY WAHLSTROM M.D., NPI 1104823335

About JOHN GEOFFREY WAHLSTROM (NPI 1104823335)


JOHN GEOFFREY WAHLSTROM is an Allergy & Immunology provider in SAINT PAUL, United States. His medical specialization is Allergy & Immunology .

1104823335 is NPI number of JOHN GEOFFREY WAHLSTROM.

JOHN GEOFFREY WAHLSTROM's primary taxonomy code based on NPI Lookup is 207K00000X with license number 28022. This taxonomy code refers to Allergy & Immunology.

JOHN GEOFFREY WAHLSTROM has more than 16 years of experience.

JOHN GEOFFREY WAHLSTROM current practice location address is 565 SNELLING AVE S, SAINT PAUL, MN. JOHN GEOFFREY WAHLSTROM can be reached out via phone at 651-698-0386 and via fax at 651-698-0483 .

You can also correspond with JOHN GEOFFREY WAHLSTROM through mail at mailing address 565 SNELLING AVE S, SAINT PAUL, MN, United States. Mailing address contact number is 651-698-0386.

The enumeration date of JOHN GEOFFREY WAHLSTROM is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 9 years ago.

1104823335 NPI Information

Basic NPI information of JOHN GEOFFREY WAHLSTROM (NPI 1104823335) is provided below.

Name JOHN GEOFFREY WAHLSTROM
National Provider Id (NPI) 1104823335
Entity Type Individual
Gender M
Credential M.D.
Practice Address 565 SNELLING AVE S,
SAINT PAUL, MN, United States
Practice Telephone 651-698-0386
Practice Fax Number 651-698-0483
Mailing Address 565 SNELLING AVE S ,
SAINT PAUL, MN, United States
Mailing Telephone 651-698-0386
Mailing Fax Number 651-698-0483
Enumeration Date 01-Jul-2005
Last Updated Date 23-Jan-2013

JOHN GEOFFREY WAHLSTROM (NPI 1104823335) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207K00000X Allergy & Immunology 28022 MN

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
030000059 MEDICARE ID-Type Unspecified (04) MN
564077600 MEDICARE ID-Type Unspecified (04) MN
D28714 MEDICARE UPIN (02) MN

JOHN GEOFFREY WAHLSTROM (NPI 1104823335) Office Location

Office location of JOHN GEOFFREY WAHLSTROM is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1124682091 AUBREY WEGELEBEN Counselor, Addiction (Substance Use Disorder) PO BOX 86,
SAINT PAUL, AK, United States
26-Apr-2019
1962418095 JOHN M. LEIMER Counselor, Addiction (Substance Use Disorder) PO BOX 97,
SAINT PAUL, AR, United States
31-Jul-2006
1336554906 EJIKE BARTHOLOMEW EZEJA Dentist 1159 FIFIELD AVE, APT. N4
SAINT PAUL, MN, United States
23-Jun-2014
1386777316 LAKISHA JONES Specialist/Technologist, Athletic Trainer 6808 N COUNTY ROAD 400 W,
SAINT PAUL, IN, United States
13-Mar-2007
1487016549 JOHNSON MEMORIAL HOSPITAL General Acute Care Hospital 214 CRENSHAW DR,
SAINT PAUL, IN, United States
27-Mar-2016
1255787453 PHYLLIS ANN HARMAN Nurse Practitioner, Primary Care 214 CRENSHAW DR,
SAINT PAUL, IN, United States
06-May-2016
1740449701 ADRIENNE LYNNE CHAMBERS Nurse Practitioner, Pediatrics 7682 W COUNTY ROAD 550 N,
SAINT PAUL, IN, United States
05-Jun-2008
1306934666 FRANCES MARIETTA CAMPBELL Nurse Anesthetist, Certified Registered 202 S MEADOWHILL LN,
MAHOMET, IL, United States
11-Oct-2006
1578651741 TIMOTHY JAMES CAMPBELL Nurse Anesthetist, Certified Registered 202 S MEADOWHILL LN,
MAHOMET, IL, United States
11-Oct-2006
1710202171 DISABILITY AND AUTISM SERVICES OF INDIANA LLC Behavior Analyst 4561 W COUNTY ROAD 650 N,
SAINT PAUL, IN, United States
29-Mar-2010
1255965083 TRUE HEALTHCARE PARTNER LLC Clinic/Center, Rural Health 104 NORTH WEBSTER STREET,
SAINT PAUL, IN, United States
02-Mar-2020
1093132664 ALYSE BARTHOLOMEW Occupational Therapist 709 E HILL ST,
INDEPENDENCE, KS, United States
21-Mar-2014
1134159452 PRAIRIE MISSION RETIREMENT VILLAGE Skilled Nursing Facility 242 CARROLL ST,
SAINT PAUL, KS, United States
03-Jul-2006
1477753242 CAROL FRANCES SMITH Social Worker PO BOX 302,
SAINT PAUL, KS, United States
20-Jul-2007
1164613121 JENNIFER DENISE STONEKING Speech-Language Pathologist, 910 5TH ST,
SAINT PAUL, KS, United States
06-Aug-2007
1528374659 TAMARA SUZANN NORRIS Occupational Therapist 614 5TH ST,
SAINT PAUL, KS, United States
26-Aug-2010
1356941892 KARI CHAMBERS Pharmacist 10510 UDALL RD,
SAINT PAUL, KS, United States
26-Oct-2020
1083282347 ANTHONY DISKIN Dentist, General Practice 911 RIDGE POINTE DR,
SAPULPA, OK, United States
14-Jun-2021
1497811517 JACOB JAMES MOOTZ Chiropractor 5007 28TH AVE S, APT. #2
MINNEAPOLIS, MN, United States
01-Jan-2007
1538525894 ABDULLAHI AHMED Contractor 644 DALE ST N,
SAINT PAUL, MN, United States
01-Jan-2016

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1104823335?

1104823335 is the NPI number of JOHN GEOFFREY WAHLSTROM.

What is the specialty for JOHN GEOFFREY WAHLSTROM?

The Specialty of JOHN GEOFFREY WAHLSTROM is Allergy & Immunology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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