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NORTHLAND GASTROENTEROLOGY NPI 1093884504


NPI Information

NPI: 1093884504
Provider Name: NORTHLAND GASTROENTEROLOGY
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO
ZIP 64024
Phone: (816) 630-0900
Get Directions

NORTHLAND GASTROENTEROLOGY is a gastroenterology internal medicine in Excelsior Springs, MO. The provider is 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 NPI is 1093884504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO
ZIP 64024-183
Phone: (816) 630-0900
Fax: (816) 637-3250

The provider's authorized official is Brandi E Potter .
The authorized official title is Billing and has the following contact phone number (816) 554-3838.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyR9779MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109040299OTHERMISSOURIBCBS
2L454704MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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