NPIMap

Individual provider Active NPI

Gillian Elice Lavik, MD

  • Surgery Physician
  • Minot, ND
National Provider Identifier
1659690618
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13774 Issued in ND
Practice address
1002 18TH Ave SE
Minot, ND 58701-6785
Phone
(701) 852-6143
Fax
(701) 418-0778
NPI assigned
May 28, 2010
Last updated
Dec 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 13774 ND Primary

Addresses

Primary practice location

1002 18TH Ave SE
Minot, ND 58701-6785

Mailing address

1002 18TH Ave SE
Minot, ND 58701-6785
Phone (701) 852-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001711 ND Practitioner - General Surgery 2668603747 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Dakota School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Dakota Management LLCGroup PAC ID 3678008331, 6 clinicians
Good Samaritan Hospital AssociationGroup PAC ID 6002716701, shared by 8 NPIs, 24 clinicians
St Andrews HospitalGroup PAC ID 4880505999, shared by 4 NPIs, 16 clinicians
St Aloisius Hospital, Inc.Group PAC ID 6002802378, 19 clinicians

Practice addresses (Care Compare)

1002 18TH Ave SE
Minot, ND 58701-6785
Phone (701) 852-6143

2975 Hwy 2 E
Rugby, ND 58368-7801
Phone (701) 776-5261

316 Ohmer St
Bottineau, ND 58318-1045
Phone (701) 228-9300

317 Brewster St E
Harvey, ND 58341-1653
Phone (701) 324-5131

325 Brewster St E
Harvey, ND 58341-1653
Phone (701) 324-4651

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13774NDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presentation Medical Center CurrentSince May 30, 2024 Accepting new patients
St. Andrew's Hospital CurrentSince Oct 1, 2023 Accepting new patients
St. Andrew's Hospital CurrentSince Oct 1, 2023 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Sep 1, 2023 Accepting new patients
Good Samaritan Hospital Association CurrentSince Jan 1, 2026 Accepting new patients
St Aloisius Hospital Inc CurrentSince Jun 15, 2023 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Sep 1, 2023 Accepting new patients
Good Samaritan Hospital Association Surgery CurrentSince Mar 18, 2024 Accepting new patients
St Aloisius Hospital Inc CurrentSince Jun 15, 2023 Accepting new patients
Northwest Dakota Management LLC CurrentSince Jun 14, 2023 Accepting new patients
Rural Surgical Solutions, PLLC CurrentSince Jul 16, 2024 Accepting new patients
St. Andrew's Hospital Current Accepting new patients
Presentation Medical Center CurrentSince May 30, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Surgery Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
Presentation Medical Center Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients

Locations

316 Ohmer St
Bottineau, ND 58318
Phone (701) 228-9300

317 Brewster St E
Harvey, ND 58341
Phone (701) 324-5131

325 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651

1002 18th Ave SE
Minot, ND 58701
Phone (215) 205-2610

1002 18th Ave SE
Ste A
Minot, ND 58701

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

600 17th Ave SE
Minot, ND 58701
Phone (701) 857-2281

2975 Highway 2 E
Rugby, ND 58368
Phone (701) 776-5235

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1659690618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 18TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016785",
            "telephone_number": "701-852-6143",
            "fax_number": "701-418-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 18TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016785",
            "telephone_number": "701-852-6143",
            "fax_number": "701-418-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIK",
        "first_name": "GILLIAN",
        "middle_name": "ELICE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "13774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.