Northland OB-GYN Associates

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NORTHLAND OB-GYN ASSOCIATES

Practice address

1000 E 1St St
Ste LL
Duluth, MN 55805-2297

Phone

(218) 722-5629

Fax

(218) 722-5148

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James A Sebastian, MDNPI 1033187141

Title

Partner

Phone

(218) 722-5629

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Albert Sebastian, MD

  • Specialist
  • Duluth, MN
  • NPI 1033187141
  NPD Authorized official
• Susan Mavis Goltz, MD

  • Obstetrics & Gynecology Physician
  • Duluth, MN
  • NPI 1811966500
  NPD
• Judith L Johnson, MD

  • Specialist
  • Duluth, MN
  • NPI 1033188347
  NPD
• Elisabeth Revoir, MD

  • Obstetrics & Gynecology Physician
  • Duluth, MN
  • NPI 1952349169
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043397870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE LL",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5629",
            "fax_number": "218-722-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE LL",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-5629",
            "fax_number": "218-722-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND OB-GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "218-722-5629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "75267DU",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "95007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32653200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "111066",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Ear, Nose & Throat Associates, P.a.
• Northland Family Physicians, LTD.
• Northland Family Programs
• Northland Gastroenterology PA
• Northland Hearing Centers, Inc.
• Northland Plastic Surgery, PA
• Northland Urology Asso. P.a.
• Northway Academy, Inc.
• Northwind Counseling
• Northwood Children'S Home Society Inc

• Medical Specialty Clinic/Center in Duluth, MN
• Providers in Duluth, MN by specialty
• Medical Specialty Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.