Organization Active NPI

Northern Valley Obstetrics & Gynecology, P.C.

  • Primary Care Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1194778035
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
8135 Issued in ND
Legal business name
NORTHERN VALLEY OBSTETRICS & GYNECOLOGY, P.C.
Practice address
2810 17TH Ave S
Grand Forks, ND 58201-4010
Phone
(701) 738-2004
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Rory Trottier, M.D.
Title
President
Phone
(701) 738-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 8135 ND Primary

Addresses

Primary practice location

2810 17TH Ave S
Grand Forks, ND 58201-4010

Mailing address

2810 17TH Ave S
Grand Forks, ND 58201-4010
Phone (701) 738-2004

Other identifiers 1

IdentifierTypeStateIssuer
N711838OtherNDPTAN

National Provider Directory

National Provider Directory

Locations

1451 44th Ave S
Ste 201D
Grand Forks, ND 58201
Phone (701) 738-2004

2810 17th Ave S
Grand Forks, ND 58201
Phone (701) 738-2004

1451 44th Ave S
Ste D
Grand Forks, ND 58201
Phone (701) 738-2004

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1194778035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014010",
            "telephone_number": "701-738-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 17TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014010",
            "telephone_number": "701-738-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VALLEY OBSTETRICS & GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "TROTTIER",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-738-2004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ND",
            "license": "8135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "N711838",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.