DR. WILLIAM FREDERIC NORTHRUP M.D. NPI 1265496343

NPI Information

  • NPI: 1265496343
  • Provider Name: DR. WILLIAM FREDERIC NORTHRUP, M.D.
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 4770 WHITE BEAR PKWY
    LOWER LEVEL
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Phone: (651) 653-1850

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NPI Details

DR. William Frederic Northrup, M.D. is a surgery in White Bear Lake, MN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. William Frederic Northrup, M.D. NPI is 1265496343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4770 WHITE BEAR PKWY
LOWER LEVEL
WHITE BEAR LAKE, MN
ZIP 55110-394
Phone: (651) 653-1850
Fax: (651) 426-6439

The enumeration date for this NPI number is 4/14/2006 and was last updated on 7/8/2007.

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
1208600000XSurgery20586MINNESOTAYes

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
1202741675 55110 A001OTHERMINNESOTATRICARE
2536K0NOOTHERMINNESOTABLUE CROSS BLUE SHIELD MN
3A57110010519OTHERMINNESOTAPREFERRED ONE
4A94561MEDICARE UPINMINNESOTA
5108709OTHERMINNESOTAUCARE
618-00157OTHERMINNESOTAMEDICA
7109263OTHERMINNESOTAHEALTHPARTNERS

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: 11/21/2025

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