Jay Eidem, PHARMD

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 16, 2008

Quick Facts

NPI Number
1396905022
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy1835P0018X — Specialty not listed
Phone
(612) 863-9134
StateMN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1396905022)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 16, 2008)
Data source: CMS NPPES

Provider Overview

JAY EIDEM, PHARMD is a Healthcare provider based in Minneapolis, MN who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1396905022
Provider TypeIndividual Provider
GenderMale
CredentialPHARMD
StatusActive
Enumeration DateJune 16, 2008

Practice Location

CityMinneapolis
StateMN
ZIP Code55407
Phone(612) 863-9134

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code1835P0018X
License StateMN

Mailing Address

CityMinneapolis
StateMN
ZIP Code55407
Phone(612) 863-9134
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1396905022 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1396905022for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1396905022 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
📊
13,409
Specialty not listed Providers in the US

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People Also Ask

What is Jay Eidem's NPI number?
Jay Eidem's NPI number is 1396905022, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jay Eidem's NPI currently active?
Yes, Jay Eidem's NPI status is Active as of the latest CMS NPPES database updates.
What does Jay Eidem specialize in?
Jay Eidem specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 1835P0018X.
Where does Jay Eidem practice?
Jay Eidem practices in Minneapolis, MN 55407.
When was Jay Eidem's NPI issued?
Jay Eidem's NPI was issued on June 16, 2008.
What is Jay Eidem's provider type?
Jay Eidem is registered as an Individual Provider under CMS NPI Type 1.