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Pediatric and Young Adult Medicine, PA

Primary Care Clinic/Center in Eagan, MN · enumerated 2009 · authorized official Terri Joseph, Office Manager.

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

National Provider Identifier

1205078300

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric and Young Adult Medicine, PA
Practice address 3470 Washington Dr, Suite 201, Eagan, MN, 55122
Fax (651) 256-6766
Enumeration date Apr 3, 2009
Last updated in NPPES Dec 7, 2016

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 154 (MN) Primary

Authorized official

Name Terri Joseph
Title Office Manager

Other identifiers

Identifier Type State Issuer
1104806165 Medicaid MN -
1245210210 Medicaid MN -
1881057065 Medicaid MN -
1083694046 Medicaid MN -
1861558835 Medicaid MN -
1386991339 Medicaid MN -
1245210095 Medicaid MN -
1477870921 Medicaid MN -
1912987900 Medicaid MN -
1497735419 Medicaid MN -

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

What is the NPI number for Pediatric and Young Adult Medicine, PA?
The NPI for Pediatric and Young Adult Medicine, PA is 1205078300, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric and Young Adult Medicine, PA?
NPPES lists Terri Joseph (Office Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-07.