NPI Code Detail JSON Logo

1164592770 NPI number — NORTHLAND GASTROENTEROLOGY PA

NPI Number: 1164592770
Health Care Provider/Practitioner: NORTHLAND GASTROENTEROLOGY PA

Information about “1164592770” NPI (NORTHLAND GASTROENTEROLOGY PA) exists in 1164592770 in HTML format HTML  |  1164592770 in plain Text format TXT  |  1164592770 in PDF (Portable Document Format) PDF  |  1164592770 in an XML format XML  formats.

NPI Number : 1164592770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164592770",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NORTHLAND GASTROENTEROLOGY PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1420 LONDON ROAD",
    "SecondLineMailingAddress": "SUITE 202",
    "MailingAddressCityName": "DULUTH",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "218-724-3411",
    "MailingAddressFaxNumber": "218-724-3408",
    "FirstLinePracticeLocationAddress": "1420 LONDON ROAD",
    "SecondLinePracticeLocationAddress": "SUITE 202",
    "PracticeLocationAddressCityName": "DULUTH",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-724-3411",
    "PracticeLocationAddressFaxNumber": "218-724-3408",
    "EnumerationDate": "11/09/2006",
    "LastUpdateDate": "06/24/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCKEE",
    "AuthorizedOfficialFirstName": "DANIEL",
    "AuthorizedOfficialMiddleName": "PAUL",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "218-724-3411",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.