Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932174422 Individual Practitioner Male Practitioner

Dr. John J Stoltenberg , MD

Specialist • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Stoltenberg, MD is a registered healthcare professional specializing in Specialist in Fridley, MN. Practice services are available at 500 OSBORNE RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Osborne Rd Ne

Fridley, MN 554322765

Telephone 9528434333
Fax 9528434301
Associated Practice Facility / Clinic
🏢 Daniel R Baker Md Pa Facility NPI 1700971942

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Fridley, MN (877 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 21002

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
845593700 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1063487643

Doctor of Medicine (M.D.)

Dr. Grace Khouri , MD

General Practice

NPI 1063489151

Doctor of Medicine (M.D.)

NPI 1073588653

Doctor of Medicine (M.D.)

NPI 1306810106

Doctor of Medicine (M.D.)

NPI 1306811070

Doctor of Medicine (M.D.)

NPI 1336113059

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2008

Registered at 500 OSBORNE RD NE, FRIDLEY, MN 554322765 (Tel: 9528434333)

📍
Updated Business Mailing Address April 22, 2008

Registered at 500 OSBORNE RD NE, FRIDLEY, MN 554322767 (Tel: 9528434333)

👤
Provider Name / Credentials Updated April 22, 2008

Recorded as JOHN STOLTENBERG, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2008

Specialist (License #21002 in MN)

🟢
Initial NPI Registration & Enumeration February 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932174422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2006
Last Update: April 22, 2008
Sole Proprietor: No

Mailing Address

500 Osborne Rd Ne

Fridley, MN 554322767

Phone: 9528434333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.