Southdale Digestive Diseases, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

017877 Issued in MN

Legal business name

SOUTHDALE DIGESTIVE DISEASES, PA

Practice address

7901 Xerxes Ave S
Bloomington, MN 55431-1253

Phone

(952) 920-2453

NPI assigned

Dec 19, 2007

Last updated

Dec 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jan Henri Tanghe

Title

MD

Phone

(763) 416-0799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1487838918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 PARKWOOD LN",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361731",
            "telephone_number": "763-416-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311253",
            "telephone_number": "952-920-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHDALE DIGESTIVE DISEASES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "TANGHE",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "HENRI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "763-416-0799",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "017877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Solomon, DPT
• Somgen LLC (Rochma)
• Suzanne C Sorensen, RD, LD, CDE
• Virak Sotonn, D.C
• South Metro Human Services Dba Radias Health
• Samuel Joseph Southgate, MD
• Southwest Residence Center Inc
• Cody Soyk, M.D.
• Jeanne Schneyer Spadaccini, PT
• Christine Marie Spain

• Internal Medicine Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.