NPIMap

Individual provider Active NPI

Eric P Scrivner, M.D.

  • Family Medicine Physician
  • Bigfork, MN
National Provider Identifier
1073802047
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57895 Issued in MN
Practice address
135 Pine Tree Drive
Bigfork, MN 56628
Phone
(218) 743-3232
Fax
(218) 743-4223
NPI assigned
Mar 30, 2011
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57895 MN Primary

Addresses

Primary practice location

135 Pine Tree Drive
Bigfork, MN 56628

Mailing address

PO Box 135
Bigfork, MN 56628-0135
Phone (218) 743-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717000365 MN Practitioner - Family Practice 3375798960 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Area Health Services, IncGroup PAC ID 4880681303, shared by 7 NPIs, 27 clinicians
Duluth Graduate Medical Education Council IncGroup PAC ID 4385545953, 32 clinicians

Practice addresses (Care Compare)

20 5TH St SE
Cook, MN 55723-9702
Phone (218) 666-5941

330 N 8TH Ave E
Duluth, MN 55805-2024
Phone (218) 723-1112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57895MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc CurrentSince Aug 1, 2014 Accepting new patients
Cook Area Health Services, Inc CurrentSince Aug 1, 2014 Accepting new patients
Cook Area Health Services, Inc Current Accepting new patients
Cook Area Health Services, Inc Family Medicine Current Accepting new patients
Duluth Graduate Medical Education Council Inc Family Medicine CurrentSince Mar 20, 2023 Accepting new patients
The Duluth Clinic, LTD. PastSince Mar 20, 2023 Accepting new patients
Cook Area Health Services, Inc Past Accepting new patients
Cook Area Health Services, Inc Past Accepting new patients

Locations

410 2nd St NW
Big Falls, MN 56627
Phone (218) 276-2403

135 Pine Tree Dr
Bigfork, MN 56628
Phone (218) 743-3232

20 5th St SE
Cook, MN 55723
Phone (218) 666-5941

330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122

239 McKinley Ave
Eveleth, MN 55734
Phone (218) 361-3300

12052 Main St
Northome, MN 56661
Phone (218) 897-5222

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1073802047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "566280135",
            "telephone_number": "218-743-3232",
            "fax_number": "218-743-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "56628",
            "telephone_number": "218-743-3232",
            "fax_number": "218-743-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIVNER",
        "first_name": "ERIC",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "57895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bigfork, MN

Sources for this page

Verify at the official NPI Registry.