NPIMap

Organization Active NPI

Specialists in General Surgery, LTD

  • Specialist
  • Maple Grove, MN
National Provider Identifier
1780649665
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
551 Issued in MN
Legal business name
SPECIALISTS IN GENERAL SURGERY, LTD
Practice address
9825 Hospital Dr
Suite 105
Maple Grove, MN 55369-4479
Phone
(763) 780-6699
Fax
(763) 420-0506
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Dr. Adrianne Bowen, M.D.NPI 1114065711
Title
President
Phone
(763) 780-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 551 MN Primary

Addresses

Primary practice location

9825 Hospital Dr
Suite 105
Maple Grove, MN 55369-4479

Mailing address

9825 Hospital Dr
Suite 105
Maple Grove, MN 55369-4479
Phone (763) 780-6699

Other names 1

  • Specialists in General Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112001167 MN Part B Supplier - Clinic/Group Practice 2466416128 Receives reassigned benefits from 18 practitioners
Practice locations: Crystal, MN; Saint Anthony, MN; Robbinsdale, MN; Plymouth, MN; Maple Grove, MN; Fridley, MN; Edina, MN; Buffalo, MN…

National Provider Directory

National Provider Directory

Locations

3960 Coon Rapids Blvd NW
Ste 305
Coon Rapids, MN 55433
Phone (763) 520-5876

7261 Ohms Ln
#2443
Edina, MN 55439

5700 Bottineau Blvd
Ste 120
Minneapolis, MN 55429

7373 France Ave S
Ste 408
Minneapolis, MN 55435
Phone (952) 831-8228

480 Osborne Rd NE
Ste 200
Minneapolis, MN 55432
Phone (763) 236-3800

9750 Rockford Rd
Ste 100
Plymouth, MN 55442
Phone (763) 559-3164

1495 County Road 101 N
Ste 408
Plymouth, MN 55447

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1780649665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 HOSPITAL DR",
            "address_2": "SUITE 105",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694479",
            "telephone_number": "763-780-6699",
            "fax_number": "763-420-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS IN GENERAL SURGERY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-780-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialists in General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.