NORTHLAND GASTROENTEROLOGY PA – NPI #1164592770
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

NORTHLAND GASTROENTEROLOGY PA is a provider located in DULUTH, MN. NPPES has assigned the NPI number 1164592770 to NORTHLAND GASTROENTEROLOGY PA on November 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was previously updated about 16 years ago on Jun 24, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHLAND GASTROENTEROLOGY PA below.

NPI Profile for
NORTHLAND GASTROENTEROLOGY PA

NPI Number
1164592770
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHLAND GASTROENTEROLOGY PA
Primary location
1420 LONDON ROAD
SUITE 202
DULUTH, MN 55805
Phone: (218) 724-3411 Fax: (218) 724-3408
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL MCKEE
PRESIDENT
Phone: (218) 724-3411
Updated
Identifiers

Identifiers for NORTHLAND GASTROENTEROLOGY PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD AND FIRST PLAMN065T6NO
OTHERBLUECROSS AND BLUESHIELDMN065T6NO
OTHERFIRST PLAN OF MINNESOTA065T6NO
OTHERHEALTH PARTNERS83860
OTHERRAILROAD MEDICAREMNCJ5768
OTHERUCARE167970
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.