Minneapolis Endoscopy Center ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3397202 Issued in MN

Legal business name

MINNEAPOLIS ENDOSCOPY CENTER ASC LLC

Doing business as

Gastrointestinal Diagnostic Center

Practice address

7600 Parklawn Avenue
Edina, MN 55435

Phone

(612) 870-5557

Fax

(612) 870-5857

NPI assigned

Jun 27, 2006

Last updated

Aug 22, 2020By 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

David Hanson, MDNPI 1922071356

Title

President

Phone

(612) 870-5557

Specialties & licenses 1

Addresses

Other names 1

• Gastrointestinal Diagnostic Center Doing business as

Tax ID family

Gastrointestinal Diagnostic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Minneapolis Endoscopy ASC LLC

  dba Gastrointestinal Diagnostic Center - South

  • Ambulatory Surgical Clinic/Center
  • Edina, MN
  • NPI 1740252634
  NPD tax ID

Locations

Practitioners 1

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.

• David S Hanson, MD

  • Gastroenterology Physician
  • Saint Paul, MN
  • NPI 1922071356
  Authorized official Same address or phone

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760419618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14909",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554140909",
            "telephone_number": "612-870-5557",
            "fax_number": "612-870-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN AVENUE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "612-870-5557",
            "fax_number": "612-870-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEAPOLIS ENDOSCOPY CENTER ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-870-5557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "3397202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastrointestinal Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindset, Inc.
• Richard A Miner, MD
• Teresa D Minet
• Tyler Mingo, MD
• Minneapolis Endoscopy ASC LLC (Gastrointestinal Diagnostic Center - South)
• Minneapolis Otolaryngology PA
• Minneapolis Radiation Oncology PA
• Minneapolis Seniors PC
• Minneapolis Southwest Mental Health Clinic, Limited
• Minneapolis Surgical Ctr Anesthesiologists

• Ambulatory Surgical Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.