NORTHERN PINES ORTHOPAEDIC CENTER, LLC (NPI# 1124427414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124427414 |
| Entity Type | Organization |
| Organization Name | NORTHERN PINES ORTHOPAEDIC CENTER, LLC |
| Practice Address |
111 Golf Course Rd Suite 3 Grand Rapids MN 55744-3526 |
| Practice Telephone | 2183266677 |
| Practice Fax Number | 2183260400 |
| Mailing Telephone | 2183266677 |
| Mailing Fax Number | 2183260400 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | DR. DANIEL L BAKER (C E O) |
| Authorized Official Telephone | 2183266677 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
0-278-043-264 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE OF MN REGISTRATION | 1068 | 01 |
| Street Address |
111 GOLF COURSE RD SUITE 3 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745576 | Paul Norman Olson | Radiology | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2005-07-28 |
| 1811313612 | Alans Physical Therapy of Grand Rapids | Clinic/Center | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2014-03-17 |
| 1831268978 | Radtke Physical Therapy Limited Partnership | Physical Therapist | 111 Golf Course Rd, Suite 2, Grand Rapids, MN 55744-3526 | 2006-11-06 |
| 1902875040 | Donald M Carlson | Physical Therapist | 111 Golf Course Rd, Grand Rapids, MN 55744-3526 | 2006-03-14 |
| 1144290958 | Daniel L Baker | Orthopaedic Surgery | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-24 |
| 1356321467 | Jeffery J Temple | Nurse Practitioner | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-17 |
| 1508846619 | Northern Pines Orthopaedic Clinic, P.a. | Orthopaedic Surgery | 111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619213949 | West Michigan Imaging Partners LLC | Clinic/Center | 3949 Sparks Dr Se, Suite 104, Grand Rapids, MI 49546-6110 | 2012-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417494196 | Smart Choice Mri, LLC | Clinic/Center | 13000 Technology Dr Ste 100, Eden Prairie, MN 55344-3606 | 2017-01-19 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1205205069 | Midwest Imaging LLP | Clinic/Center | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2015-09-22 |
| 1346652609 | Northwest Mri Center | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2014-05-21 |
| 1861811333 | Woodbury Mri, LLC | Clinic/Center | 6053 Hudson Rd Ste 140, Woodbury, MN 55125-1022 | 2014-04-14 |
| 1285050211 | Mai Spine Center P.a. | Clinic/Center | 485 Arundel St # 102, Saint Paul, MN 55103-1931 | 2014-03-14 |
| 1073953451 | Twin Cities Diagnostic Center, LLC. | Clinic/Center | 7570 Wayzata Boulevard, Golden Valley, MN 55426 | 2013-06-28 |
| 1073819918 | Minnetonka Imaging Mri, Inc. | Clinic/Center | 6053 Hudson Rd Ste 357, Woodbury, MN 55125-1031 | 2011-02-09 |
| 1922272673 | Physicians First Choice Diagnostics Center | Clinic/Center | 735 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-14 |
| 1528269669 | Diagnostic Solutions | Clinic/Center | 33289 Forest Blvd, Stacy, MN 55079-4530 | 2007-05-29 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on NORTHERN PINES ORTHOPAEDIC CENTER, LLC.
| 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.