Northland Gastroenterology PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

NORTHLAND GASTROENTEROLOGY PA

Practice address

1420 London Road
Suite 202
Duluth, MN 55805

Phone

(218) 724-3411

Fax

(218) 724-3408

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Paul McKee, MDNPI 1316017924

Title

President

Phone

(218) 724-3411

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Daniel Paul McKee, MD

  • Gastroenterology Physician
  • Cloquet, MN
  • NPI 1316017924
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1164592770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LONDON ROAD",
            "address_2": "SUITE 202",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-724-3411",
            "fax_number": "218-724-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LONDON ROAD",
            "address_2": "SUITE 202",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-724-3411",
            "fax_number": "218-724-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-724-3411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "83860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ5768",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS AND BLUESHIELD",
            "identifier": "065T6NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD AND FIRST PLA",
            "identifier": "065T6NO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLAN OF MINNESOTA",
            "identifier": "065T6NO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "167970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Afc,Inc
• Northland Afc,Inc
• Northland Ear, Nose & Throat Associates, P.a.
• Northland Family Physicians, LTD.
• Northland Family Programs
• Northland Hearing Centers, Inc.
• Northland OB-GYN Associates
• Northland Plastic Surgery, PA
• Northland Urology Asso. P.a.
• Northway Academy, Inc.

• Gastroenterology Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Gastroenterology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.