An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Endocrinology, Diabetes & Metabolism |
207RE0101X | 11 | Physician/Internal Medicine | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Neuromusculoskeletal Medicine & OMM |
204D00000X | 12 | Physician/Osteopathic Manipulative Medicine | |
Nuclear Medicine |
207U00000X | 36 | Physician/Nuclear Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Urology |
208800000X | 34 | Physician/Urology |
| NPI Number | 1407721764 |
| LBN Legal business name | ST PAUL PLACE SPECIALISTS, INC. |
| Authorized official | JUSTIN DEIBEL - (EXECUTIVE VICE PRESIDENT/CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/07/2025 |
| Last updated | 10/07/2025 - About 8 months ago |
| Identifiers | n/a |
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