Midwest Gastroenterology PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MIDWEST GASTROENTEROLOGY PC

Practice address

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Phone

(701) 780-5000

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Faizan Ali Khan, DONPI 1194022541

Title

Gastroenterology

Phone

(630) 901-4143

Specialties & licenses 1

Addresses

Practitioners 1

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

• Faizan Ali Khan, DO

  • Gastroenterology Physician
  • Joliet, IL
  • NPI 1194022541
  NPD Authorized official

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1326669805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WHITING RD NW UNIT 54",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566016629",
            "telephone_number": "630-901-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 S Minnesota St",
            "address_purpose": "LOCATION",
            "city": "Crookston",
            "state": "MN",
            "postal_code": "567161601",
            "country_code": "US",
            "telephone_number": "218-281-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAIZAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "GASTROENTEROLOGY",
        "authorized_official_telephone_number": "630-901-4143",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Jo Meyer, FNP-C
• Sarah Elisabeth Meyers, MD
• Katya Mickelson, MA
• Midland Pro Health, Inc (Grand Forks CPAP Store)
• Midwest Chiropractic PA
• Midwest Neuropsychology, PLLC
• Midwest Vision Centers, Inc. (Midwest Vision Centers)
• Milos Mihajlovic, MD
• John Michael Mikkelsen, CRNA
• Jolene Rae Brown Mikkelson, OTR/L

• Gastroenterology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Gastroenterology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.