NORTH CLINIC, PA (NPI# 1114962206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114962206 |
| Entity Type | Organization |
| Organization Name | NORTH CLINIC, PA |
| Other Organization Name | VOYAGE HEALTHCARE |
| Practice Address |
9201 W Broadway Ave Suite 601 Brooklyn Park MN 55445-1923 |
| Practice Telephone | 7635877900 |
| Practice Fax Number | 7635877066 |
| Mailing Telephone | 7635877900 |
| Mailing Fax Number | 7635877066 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | DR. SCOTT R COLSON (PRESIDENT) |
| Authorized Official Telephone | 7635877900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
123 | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | 123 | MN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 123 | MN | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 123 | MN | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
123 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 123 | MN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Voyage Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407011760 | North Clinic, Pa | Clinic/Center | 9201 W Broadway Ave Ste 601, Brooklyn Park, MN 55445-1924 | 2008-07-25 |
| 1639643455 | North Clinic, Pa | Internal Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2019-01-15 |
| 1902043615 | North Clinic, Pa | Non-Pharmacy Dispensing Site | 50 Central Ave, Osseo, MN 55369-1241 | 2009-01-16 |
| 1134374523 | North Clinic, Pa | Non-Pharmacy Dispensing Site | 3366 Oakdale Ave N, Suite 215, Robbinsdale, MN 55422-2948 | 2008-11-26 |
| 1386819621 | North Clinic, Pa | Obstetrics & Gynecology | 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003 | 2008-04-28 |
| 1538334883 | North Clinic, Pa | Internal Medicine | 50 Central Ave, Osseo, MN 55369-1241 | 2008-04-28 |
| 1235304726 | North Clinic, Pa | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-04-25 |
| Street Address |
9201 W BROADWAY AVE SUITE 601 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932178480 | Bruce William Young | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2006-03-16 |
| 1720466220 | Minelva Romelia Nanton | Family Medicine | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 | 2015-05-15 |
| 1760827463 | Emily Marie Kidd | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2013-05-08 |
| 1851651483 | Zachary Ely Taylor | Family Medicine | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 | 2012-05-16 |
| 1295025716 | Rachael Olivia Long | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2011-04-18 |
| 1023277837 | Julie A Dejong | Family Medicine | 9300 Noble Pkwy N, Brooklyn Park, MN 55443-5500 | 2008-06-06 |
| 1063688513 | Suhair Hamid Osman Burhan | Family Medicine | 7650 Zane Ave N, Brooklyn Park Clinic, Brooklyn Park, MN 55443-3151 | 2008-05-05 |
| 1235258690 | Nam M Ho | Family Medicine | 10000 Zane Ave N, Fairview-brooklyn Park Clinic, Brooklyn Park, MN 55443 | 2007-03-28 |
| 1366569782 | Zenith Medical Clinic | Family Medicine | 6800 78th Ave N, Suite 110, Brooklyn Park, MN 55445-2758 | 2007-03-22 |
| 1538216148 | Shantel Shavon Branch-fleming | Family Medicine | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 | 2007-01-04 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55445 |
Please comment or provide details below to improve the information on NORTH CLINIC, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.