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Columbia Park Medical Group, PA

Family Medicine Physician in Fridley, MN · enumerated 2006 · authorized official Joen Condon, Chief Financial Officer.

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

National Provider Identifier

1932150117

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Registry record

Entity type Organization (Type 2)
Legal business name Columbia Park Medical Group, PA
Practice address 6401 University Ave Ne, Suite 200, Fridley, MN, 55432
Phone (763) 572-5710
Fax (763) 571-3008
Enumeration date May 13, 2006
Last updated in NPPES Nov 13, 2007

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 147 (MN) Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
2083X0100X Occupational Medicine Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians · License 147 (MN) Secondary

Authorized official

Name Joen Condon
Title Chief Financial Officer
Phone (763) 586-5839

Other identifiers

Identifier Type State Issuer
147 Other MN STATE PROF. REGISTRATION
1014268 Other MN PREF ONE URGENT CARE #
AQ9091045486 Other MN PREFERRED ONE
02071BR Other MN BCBS OF 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

Who is the authorized official for Columbia Park Medical Group, PA?
NPPES lists Joen Condon (Chief Financial Officer) as the authorized official for this organization.
What is the NPI number for Columbia Park Medical Group, PA?
The NPI for Columbia Park Medical Group, PA is 1932150117, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-13.