Northern Pines Orthopaedic Clinic, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHERN PINES ORTHOPAEDIC CLINIC, P.A.

Practice address

111 Golf Course Rd
Ste 1
Grand Rapids, MN 55744-3526

Phone

(218) 326-8749

Fax

(218) 326-0400

NPI assigned

Jan 17, 2006

Last updated

Sep 20, 2012By 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. Daniel L Baker, M.D.NPI 1144290958

Title

C.E.O.

Phone

(218) 326-8749

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel L Baker, M.D.

  • Orthopaedic Trauma Physician
  • Grand Rapids, MN
  • NPI 1144290958
  Authorized official Same address or phone
• Kristina Anne Haden, APRN, CNP

  • Family Nurse Practitioner
  • Grand Rapids, MN
  • NPI 1578290698
  NPD
• Kjerstin G Durie, PA-C

  • Physician Assistant
  • Woodbury, MN
  • NPI 1538672548
  NPD (past)
• Leo L Hise II, D.O.

  • Orthopaedic Surgery Physician
  • Hibbing, MN
  • NPI 1225018302
  NPD (past)
• Jeffery J Temple, NP

  • Primary Care Nurse Practitioner
  • Aitkin, MN
  • NPI 1356321467
  NPD (past)
• Lael M Luedtke, MD

  • Pediatric Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1285676668
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1508846619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "address_2": "STE 1",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-326-8749",
            "fax_number": "218-326-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "address_2": "STE 1",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-326-8749",
            "fax_number": "218-326-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PINES ORTHOPAEDIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "218-326-8749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Homes, Inc. (North Homes Children and Family Services)
• North Lakes Chiropractic
• Northern Dental Partners and Associates PLLC (Miskovich Dental Clinic)
• Northern Orthotic and Prosthetic Center
• Northern Pines Orthopaedic Center, LLC
• Northland Counseling Center, Inc
• Northland Counseling Center, Inc.
• Northland Counseling Center, Inc.
• Northland Counseling Center, Inc.
• Northland Counseling Center, Inc.

• Orthopaedic Surgery Physician in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Orthopaedic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.