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NORTH MEMORIAL ENDOSCOPY CENTER AT MAPLE GROVE, LLC
NPI 1720274467
Clinic/Center - Ambulatory Surgical in Maple Grove, MN

Active since September 17, 2007
9855 HOSPITAL DR, SUITE 275, MAPLE GROVE, MN 55369(763) 981-3200 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Memorial Endoscopy Center At Maple Grove, Llc NPPES

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

NORTH MEMORIAL ENDOSCOPY CENTER AT MAPLE GROVE, LLC (NPI 1720274467) is a healthcare organization registered as an ambulatory surgical in Maple Grove, Minnesota and active in the NPI registry since September 2007. The organization lists Greg Mevissen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720274467
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH MEMORIAL ENDOSCOPY CENTER AT MAPLE GROVE, LLC
Location Address9855 HOSPITAL DR, SUITE 275Maple Grove, MN 55369-4778
Mailing Address9855 Hospital Dr, Suite 275Maple Grove, MN 55369-4778
Phone(763) 981-3200
Organization SubpartNo
Authorized OfficialGreg MevissenMedical Director · (763) 981-3200
Enumeration DateSeptember 17, 2007
Last NPPES UpdateJune 21, 2018
✔ NPI 1720274467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9855 HOSPITAL DR, Maple Grove, MN 55369
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Other Identifiers 9

Other1720274467MN · Ucare
Other68-00093Selectcare
Other5T42MAMN · Bsmn
Other1053443Preferred One
Other227634Health Partners
Other68-00093Patient Choice
Medicaid48004500MN
Other68-00093Medica
Other68-00093Laborcare

Other Providers at the Same Location NPPES 12

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

NICOLE T LOWE M.D.
Family Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220
DR. MARK S HENCH M.D.
Family Medicine
9855 HOSPITAL DR, STE 102A
MAPLE GROVE, MN 55369
Hennepin County (763) 581-9220
BRIAN GLENN LABINE MD
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
KATHERINE ELLEN TILTON TOMSCHA PA-C
Physician Assistant
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
AFUA AMOAH MD
Internal Medicine
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (763) 581-5900
KRISTIN M LYERLY M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282
NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC
Clinic/Center (Ambulatory Surgical)
9855 HOSPITAL DR, STE 175
MAPLE GROVE, MN 55369
Hennepin County (763) 981-3200
DR. TRACY LYNN GOSEN CLARY M.D.
Obstetrics & Gynecology
9855 HOSPITAL DR
MAPLE GROVE, MN 55369
Hennepin County (952) 993-3282

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 North Memorial Endoscopy Center At Maple Grove, LLC's NPI number?

The NPI number for North Memorial Endoscopy Center At Maple Grove, LLC is 1720274467. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is North Memorial Endoscopy Center At Maple Grove, LLC located?

North Memorial Endoscopy Center At Maple Grove, LLC is located at 9855 Hospital Dr Suite 275, Maple Grove, MN 55369. The listed phone number is (763) 981-3200.

What is North Memorial Endoscopy Center At Maple Grove, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for North Memorial Endoscopy Center At Maple Grove, LLC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.