DIGESTIVE ENDOSCOPY, PA
NPI 1144588773
Internal Medicine - Gastroenterology in Maple Grove, MN

Active since May 02, 2012
17322 91ST AVE N, MAPLE GROVE, MN 55311(763) 416-0399(763) 416-0399 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Digestive Endoscopy, Pa NPPES

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

DIGESTIVE ENDOSCOPY, PA (NPI 1144588773) is a healthcare organization registered as a gastroenterology in Maple Grove, Minnesota and active in the NPI registry since May 2012. The organization lists William Charles Duane, President, as its authorized official.

NPPES Registry Identity

NPI1144588773
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDIGESTIVE ENDOSCOPY, PA
Location Address17322 91ST AVE NMaple Grove, MN 55311-5403
Mailing Address5970 Arbour AveEdina, MN 55436-2521 · (952) 920-6638 · Fax (612) 725-2248
Fax(763) 416-0399
Organization SubpartNo
Authorized OfficialWilliam Charles DuanePresident · (763) 416-0399
Enumeration DateMay 2, 2012
NPI 1144588773 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 MN · 19698
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.
17322 91ST AVE N, Maple Grove, MN 55311

Other Identifiers 2

Other1033127964MN · Npi 1
Medicaid255716900MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Internal Medicine (Gastroenterology)
17322 91ST AVE N
MAPLE GROVE, MN 55311

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 Digestive Endoscopy, PA's NPI number?

The NPI number for Digestive Endoscopy, PA is 1144588773. It was assigned to this organization in the NPPES registry on May 2, 2012.

Where is Digestive Endoscopy, PA located?

Digestive Endoscopy, PA is located at 17322 91st Ave N, Maple Grove, MN 55311. The listed phone number is (763) 416-0399.

What is Digestive Endoscopy, PA'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 Digestive Endoscopy, PA was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.