NORTHERN PINES ORTHOPAEDIC CLINIC, P.A. (NPI# 1508846619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508846619 |
| Entity Type | Organization |
| Organization Name | NORTHERN PINES ORTHOPAEDIC CLINIC, P.A. |
| Practice Address |
111 Golf Course Rd Ste 1 Grand Rapids MN 55744-3526 |
| Practice Telephone | 2183268749 |
| Practice Fax Number | 2183260400 |
| Mailing Telephone | 2183268749 |
| Mailing Fax Number | 2183260400 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | DR. DANIEL L BAKER (C.E.O.) |
| Authorized Official Telephone | 2183268749 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MN | Allopathic & Osteopathic Physicians |
| Street Address |
111 GOLF COURSE RD STE 1 |
| 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 |
| 1124427414 | Northern Pines Orthopaedic Center, LLC | Clinic/Center | 111 Golf Course Rd, Suite 3, Grand Rapids, MN 55744-3526 | 2014-08-22 |
| 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 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773507 | Charles Trevor Crellin | Orthopaedic Surgery | 221 Michigan St Ne Fl 4, Grand Rapids, MI 49503-2543 | 2016-03-23 |
| 1366799124 | Marci Anne Bartholomew | Orthopaedic Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2012-08-11 |
| 1568723484 | Gable Bert Moffitt | Orthopaedic Surgery | 221 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2543 | 2012-06-07 |
| 1114287893 | Larry W Fitzsimmons | Orthopaedic Surgery | 7660 Pine Park Dr Se, Grand Rapids, MI 49546-9130 | 2012-05-29 |
| 1073809935 | Katherine J Sage | Orthopaedic Surgery | 1195 Wilson Ave Nw Ste 200, Grand Rapids, MI 49534-6405 | 2011-06-20 |
| 1831418151 | Rohan Ashok Habbu | Orthopaedic Surgery | 1422 Dewberry Pl Ne, Apt 16, Grand Rapids, MI 49505-6918 | 2010-05-26 |
| 1750543674 | Mary A Herzog | Orthopaedic Surgery | 300 Lafayette Ave Se # 3400, Grand Rapids, MI 49503-4600 | 2008-07-01 |
| 1184883605 | Melissa Marie Peters | Orthopaedic Surgery | 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 | 2008-06-09 |
| 1871782136 | Casey R Bartman Md PC | Orthopaedic Surgery | 751 Kenmoor Ave, Grand Rapids, MI 49546 | 2007-10-23 |
| 1871629857 | Thomas G Schwaderer | Orthopaedic Surgery | 2558 Alger Se, Grand Rapids, MI 49546-5602 | 2007-02-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
Please comment or provide details below to improve the information on NORTHERN PINES ORTHOPAEDIC CLINIC, P.A..
| 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.