North Clinic, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

123 Issued in MN

Legal business name

NORTH CLINIC, PA

Practice address

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768

Phone

(763) 587-7900

Fax

(763) 494-7501

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Scott Richard Colson, MD

Title

President

Phone

(763) 587-7900

Specialties & licenses 8

Addresses

Other names 1

• Voyage Healthcare Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

North Clin Lab7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• North Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Crystal, MN
  • NPI 1134374523
  NPD tax ID
• North Clinic, PA

  • Family Medicine Physician
  • Plymouth, MN
  • NPI 1386819621
  NPD tax ID
• North Clinic, PA

  • Multi-Specialty Clinic/Center
  • Brooklyn Park, MN
  • NPI 1407011760
  NPD tax ID
• North Clinic, PA

  • Family Medicine Physician
  • Osseo, MN
  • NPI 1538334883
  NPD tax ID
• North Clinic, PA

  • Family Medicine Physician
  • Crystal, MN
  • NPI 1639643455
  NPD tax ID
• North Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Osseo, MN
  • NPI 1902043615
  NPD tax ID

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1235304726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 300",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694768",
            "telephone_number": "763-587-7900",
            "fax_number": "763-494-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR STE 300",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694768",
            "telephone_number": "763-587-7900",
            "fax_number": "763-494-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "COLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-587-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "123",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "123",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "123",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Voyage Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodi Nordstrom, PHARMD
• Lindsay Rebecca Noreen, LPCC
• Joshua Michael Norling, DPT
• Esther Norman
• Lauren May Normandin, PA-C
• North Elm Hospice, PLLC
• North Memorial Ambulatory Surgery Center at Maple Grove, LLC
• North Memorial Endoscopy Center at Maple Grove, LLC
• North Memorial Health Care
• North Memorial Health Care

• Family Medicine Physician in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.