Pamela Mary North, MD

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

29912 Issued in MN

Practice address

3550 Lexington Ave N
Suite # 300a
Shoreview, MN 55126-8075

Phone

(651) 295-7448

NPI assigned

Feb 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1053551796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N",
            "address_2": "SUITE # 300A",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268075",
            "telephone_number": "651-295-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N",
            "address_2": "SUITE # 300A",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268075",
            "telephone_number": "651-295-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "PAMELA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "29912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramel Cooper Faissal Nassrallah
• Natural Smiles Dental Care
• Jeffrey Nelson, M.D.
• Julie Marie Neumann, MA OTR
• Jeffrey B. Norsted, D.D.S.
• Northeast Youth & Family Services
• Northview Dental, P.a.
• Nova BHS
• Nurture Minds LLC
• Julie Lynn O'Brien, LMT

• Adult Mental Health Clinic/Center in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.