NORTHLAND GASTROENTEROLOGY
NPI 1093884504
Internal Medicine - Gastroenterology in Excelsior Springs, MO

Active since November 07, 2006
1345 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024(816) 630-0900(816) 637-3250 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northland Gastroenterology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAND GASTROENTEROLOGY (NPI 1093884504) is a healthcare organization registered as a gastroenterology in Excelsior Springs, Missouri and active in the NPI registry since November 2006. The organization lists Brandi E Potter, Billing, as its authorized official.

NPPES Registry Identity

NPI1093884504
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTHLAND GASTROENTEROLOGY
Location Address1345 N JESSE JAMES RDExcelsior Springs, MO 64024-1183
Mailing Address1345 N Jesse James RdExcelsior Springs, MO 64024-1183 · (816) 630-0900 · Fax (816) 637-3250
Fax(816) 637-3250
Organization SubpartNo
Authorized OfficialBrandi E PotterBilling · (816) 554-3838
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2008
NPI 1093884504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MO · R9779
Definition
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.
1345 N JESSE JAMES RD, Excelsior Springs, MO 64024

Other Identifiers 2

Other09040299MO · Bcbs
Medicare ID-Type UnspecifiedL454704MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO 64024
Nurse Practitioner (Family)
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO 64024
Family Medicine
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO 64024
Dentist (General Practice)
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO 64024
Family Medicine
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS, MO 64024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northland Gastroenterology's NPI number?

The NPI number for Northland Gastroenterology is 1093884504. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Northland Gastroenterology located?

Northland Gastroenterology is located at 1345 N Jesse James Rd, Excelsior Springs, MO 64024. The listed phone number is (816) 630-0900.

What is Northland Gastroenterology's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Northland Gastroenterology was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.