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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

John Halvorsen, MD

Family Medicine Physician in St. Paul, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104830595

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Registry record

Entity type Individual (Type 1)
Name John Halvorsen
Credential MD
Sex Male
Practice address 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, St. Paul, MN, 55106
Fax (651) 772-5477
Enumeration date Jul 28, 2006
Last updated in NPPES Feb 7, 2013

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 20514 (MN) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
025128 Other IL HEALTH ALLIANCE
472301 Other IL HEALTHLINK
080154707 Other IL RAILROAD MEDICARE
IL01P7 Other IL JOHN DEERE
0360893132 Medicaid IL -
7215059 Other IL BCBS PPO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1104830595 active?
Yes, as of the latest NPPES snapshot, NPI 1104830595 is active (record last updated 2013-02-07).
How do I verify John Halvorsen's NPI record?
Cross-check NPI 1104830595 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-07.