Gastrointestinal Diagnostic Centers of Minneaoplis Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1496624 Issued in MN

Legal business name

GASTROINTESTINAL DIAGNOSTIC CENTERS OF MINNEAOPLIS INC

Practice address

15700 37TH Avenue North
Plymouth, MN 55446

Phone

(612) 870-5557

Fax

(612) 870-5857

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

David Hanson, MD

Title

President

Phone

(612) 870-5557

Specialties & licenses 1

Addresses

Other names 1

• Metropolitan Endoscopy Center Doing business as

Locations

Practitioners 2

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

• April B Grudell, M.D.

  • Gastroenterology Physician
  • Coon Rapids, MN
  • NPI 1750361283
  NPD (past)
• Elizabeth Brindise Voudris, DO

  • Gastroenterology Physician
  • Coon Rapids, MN
  • NPI 1386007938
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164459137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14909",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554140909",
            "telephone_number": "612-870-5557",
            "fax_number": "612-870-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 37TH AVENUE NORTH",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55446",
            "telephone_number": "612-870-5557",
            "fax_number": "612-870-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL DIAGNOSTIC CENTERS OF MINNEAOPLIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-870-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "1496624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Kathleen Garry
• Tess Gartenberg, BCBA
• Madeline Hallie Gartner, M.D.
• Lauren Marie Garvin, MA, CCC-SLP
• Thomas Marvin Garvin, D.D.S.
• Larissa Nicole Gatei
• Marion Koozoyeah Gbatu
• Gbkids, Inc.
• Julie Geason, RPH
• Ashley Anne Gellner

• Ambulatory Surgical Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Ambulatory Surgical 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.