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

Practice address

7600 Parklawn Avenue
Edina, MN 55435

Phone

(612) 870-5557

Fax

(612) 870-5857

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

David Hanson, MD

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

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

Locations

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
• 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.