MNGI DIGESTIVE HEALTH, P.A. (NPI# 1609804541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609804541 |
| Entity Type | Organization |
| Organization Name | MNGI DIGESTIVE HEALTH, P.A. |
| Practice Address |
3001 Broadway St Ne Ste 500 Minneapolis MN 55413 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | MR. SCOTT KETOVER (PRESIDENT) |
| Authorized Official Telephone | 6128711145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
593 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 329508700 | 05 |
| Street Address |
3001 BROADWAY ST NE STE 500 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447456744 | Jennifer Elizabeth Burke | Anesthesiology | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2007-06-23 |
| 1548372840 | Gregory Simelgor | Anesthesiology | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2006-08-31 |
| 1669496345 | Mngi Endoscopy Asc Inc | Clinic/Center | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413 | 2006-07-27 |
| 1689606287 | Glenn Richard Gourley | Pediatrics | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2006-07-06 |
| 1649209966 | Eric J Meyer | Physician Assistant | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457795775 | Tyson Sievers | Internal Medicine | 406 Harvard St Se, Mmc 36, Minneapolis, MN 55455-0362 | 2013-04-18 |
| 1609011949 | Elizabeth Fallon | Internal Medicine | 2550 University Ave West Suite 423 South, Minneapolis, MN 55114-1904 | 2008-12-15 |
| 1598962656 | Maria E Moscandrew | Internal Medicine | 825 S 8th St Ste 250, Minneapolis, MN 55404-1214 | 2007-06-29 |
| 1598960312 | Mustafa A Tiewala | Internal Medicine | 825 S. 8th Street, Suite 250, Minneapolis, MN 55404-1208 | 2007-06-20 |
| 1033127964 | William Charles Duane Jr. | Internal Medicine | 1 Veterans Drive, Gi Section 111d Va Medical Center, Minneapolis, MN 55417-2309 | 2006-08-04 |
| 1194755900 | John J Hughes | Internal Medicine | 2639 Irving Ave S, Minneapolis, MN 55408-1048 | 2006-07-04 |
| 1487653564 | Stuart H. Borken | Internal Medicine | 825 South 8th Street, Suite 600, Attn: Parkside Professional Bldg., Minneapolis, MN 55404 | 2005-07-20 |
| 1114289873 | Joshua Sloan | Internal Medicine | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2012-06-08 |
| 1003102989 | Eugenia Shmidt | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2011-06-20 |
| 1346553294 | Hernando J Gonzalez Quiros | Internal Medicine | 701 Park Ave, G5, Minneapolis, MN 55415-1623 | 2010-07-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
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| 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.