Family Medicine
COLUMBIA PARK MEDICAL GROUP, PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1932150117 · enumerated 2006-05-13 · record updated 2007-11-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JOEN CONDON, Chief Financial Officer · (763) 586-5839
Addresses and phones
- Mailing address 6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN, 55432-4341 (763) 572-5710 Fax (763) 571-3008 Google Maps Apple Maps OpenStreetMap
- Practice location 6401 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN, 55432-4341 (763) 572-5710 Fax (763) 571-3008 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 147 MN
- Allergy & Immunology 207K00000X · License 147 MN
- Internal Medicine 207R00000X · License 147 MN
- Internal Medicine, Endocrinology, Diabetes & Metabolism 207RE0101X · License 147 MN
- Internal Medicine, Infectious Disease 207RI0200X · License 147 MN
- Obstetrics & Gynecology 207V00000X · License 147 MN
- Ophthalmology 207W00000X · License 147 MN
- Orthopaedic Surgery 207X00000X · License 147 MN
- Otolaryngology 207Y00000X · License 147 MN
- Pediatrics 208000000X · License 147 MN
- Preventive Medicine, Occupational Medicine 2083X0100X · License 147 MN
- Surgery 208600000X · License 147 MN
- Urology 208800000X · License 147 MN
- Hospitalist 208M00000X · License 147 MN
- Family Medicine 207Q00000X · Primary · License 147 MN
In this directory
Locations and evidence
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Practice location
FRIDLEY, MN, 554324341
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.