Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pediatric and Young Adult Medicine, PA

Primary Care Clinic/Center in Maplewood, MN · enumerated 2009 · authorized official Terri Joseph, Clinic Administrator.

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

National Provider Identifier

1295977395

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pediatric and Young Adult Medicine, PA

Practice address 1655 Beam Ave, Suite 108, Maplewood, MN, 55109

Phone (651) 256-6706

Fax (651) 256-6707

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 Clinic Administrator

Phone (651) 256-6706

Other identifiers

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-07. Verify at npiregistry.cms.hhs.gov.

Where is Pediatric and Young Adult Medicine, PA located?

The practice location on file with NPPES is in Maplewood, MN.

Providers at this address

Browse all →

Robert Gaertner Urology Physician · Maplewood, MN NPI 1942297171 Christopher Knoedler Urology Physician · Maplewood, MN NPI 1386631539 Aaron Kirkemo Urology Physician · Maplewood, MN NPI 1144217399 Amy Kelly Obstetrics & Gynecology Physician · Maplewood, MN NPI 1437135936 Annette Mies Obstetrics & Gynecology Physician · Maplewood, MN NPI 1265418750 Thomas Grande Obstetrics & Gynecology Physician · Maplewood, MN NPI 1407832900 Ronald Less Obstetrics & Gynecology Physician · Maplewood, MN NPI 1356327795 Joelle Knopf Neonatal Nurse Practitioner · Maplewood, MN NPI 1649248352

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