Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John A Coburn, MD

Individual provider Diagnostic Radiology Physician · NPI 1205273083

John A Coburn, MD is a Diagnostic Radiology in Roseville, Minnesota. Qualified in 2009, 17 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
17
Licensed in
MN, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4801 W 81st St Ste 108, Bloomington, MN 55437-1111 — (952) 837-9752
  • 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 — (763) 780-9155
  • 250 Thompson St, Saint Paul, MN 55102-2370 — (651) 292-2000
  • Uw Hospital And Clinics, Madison, WI 53792 — (608) 263-8310

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 65000 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 63695-20 (WI)

Record details

NPI number1205273083
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2013
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address2355 Highway 36 W Ste 100, Roseville, MN 55113-3905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations25 on file with Medicare

Other providers in Roseville