Northern Pines Orthopaedic Center, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

0-278-043-264 Issued in MN

Legal business name

NORTHERN PINES ORTHOPAEDIC CENTER, LLC

Practice address

111 Golf Course Rd
Suite 3
Grand Rapids, MN 55744-3526

Phone

(218) 326-6677

Fax

(218) 326-0400

NPI assigned

Aug 22, 2014

Last updated

Sep 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel L Baker, M.D.NPI 1144290958

Title

C E O

Phone

(218) 326-6677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel L Baker, M.D.

  • Orthopaedic Trauma Physician
  • Grand Rapids, MN
  • NPI 1144290958
  Authorized official Same address or phone

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1124427414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-326-6677",
            "fax_number": "218-326-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-326-6677",
            "fax_number": "218-326-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PINES ORTHOPAEDIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "218-326-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MN",
            "license": "0-278-043-264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northland Counseling Center, Inc
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• Northland Counseling Center, Inc.
• Northland Counseling Center, Inc.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.