NORTH CLINIC, PA (NPI# 1639643455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639643455 |
| Entity Type | Organization |
| Organization Name | NORTH CLINIC, PA |
| Other Organization Name | VOYAGE HEALTHCARE |
| Practice Address |
5109 36th Ave N Crystal MN 55422-2007 |
| Practice Telephone | 7635877900 |
| Mailing Telephone | 7635877900 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | SCOTT RICHARD COLSON (PRESIDENT) |
| Authorized Official Telephone | 7635877900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Voyage Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407011760 | North Clinic, Pa | Clinic/Center | 9201 W Broadway Ave Ste 601, Brooklyn Park, MN 55445-1924 | 2008-07-25 |
| 1114962206 | North Clinic, Pa | Allergy & Immunology | 9201 W Broadway Ave, Suite 601, Brooklyn Park, MN 55445-1923 | 2006-06-20 |
| 1902043615 | North Clinic, Pa | Non-Pharmacy Dispensing Site | 50 Central Ave, Osseo, MN 55369-1241 | 2009-01-16 |
| 1134374523 | North Clinic, Pa | Non-Pharmacy Dispensing Site | 3366 Oakdale Ave N, Suite 215, Robbinsdale, MN 55422-2948 | 2008-11-26 |
| 1386819621 | North Clinic, Pa | Obstetrics & Gynecology | 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003 | 2008-04-28 |
| 1538334883 | North Clinic, Pa | Internal Medicine | 50 Central Ave, Osseo, MN 55369-1241 | 2008-04-28 |
| 1235304726 | North Clinic, Pa | Internal Medicine | 9825 Hospital Dr Ste 300, Maple Grove, MN 55369-4768 | 2008-04-25 |
| Street Address |
5109 36TH AVE N |
| City | CRYSTAL |
| State | MN |
| Zip Code | 55422-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336123611 | Paul Andy Ruth | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2005-12-01 |
| 1114486453 | Taylor Dawson | Physician Assistant | 5109 36th Ave N, Crystal, MN 55422-2007 | 2019-03-17 |
| 1376054593 | Lisa Atkinson | Physician Assistant | 5109 36th Ave N, Crystal, MN 55422-2007 | 2017-10-15 |
| 1528327160 | Shelby Rae Spandl | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2012-05-15 |
| 1487844734 | Mary E Broughton | Physician Assistant | 5109 36th Ave N, Crystal, MN 55422 | 2007-08-01 |
| 1952330581 | Michelle Renee Wark | Physician Assistant | 5109 36th Ave N, Crystal, MN 55422 | 2006-07-03 |
| 1437189057 | David C Smiley | Internal Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2006-07-03 |
| 1366470825 | Darrell A Krieger | Internal Medicine | 5109 36th Ave N, Crystal, MN 55422 | 2006-06-30 |
| 1659307205 | Kurt Steven Partoll | Internal Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649632324 | Yazdaan Juma | Family Medicine | 5700 Bottineau Blvd Ste 100, Crystal, MN 55429-3184 | 2016-03-22 |
| 1669577417 | Scott Anthony Reichel | Family Medicine | 5502 W Broadway, Northwest Family Physicians, Crystal, MN 55428 | 2006-09-14 |
| 1336123611 | Paul Andy Ruth | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2005-12-01 |
| 1093706509 | Dawn M Blomgren I | Family Medicine | 5502 W Broadway Ave, Suite 200, Crystal, MN 55428-3508 | 2005-11-03 |
| 1093184533 | Ofer Barniv | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2015-09-15 |
| 1588004279 | Crystal New Hope Medical Clinic | Family Medicine | 3501 Douglas Dr N, Crystal, MN 55422-2480 | 2013-06-27 |
| 1760733752 | Elizabeth Janet Albright | Family Medicine | 5700 Bottineau Blvd, Suite #100, Crystal, MN 55429-3183 | 2012-10-01 |
| 1528327160 | Shelby Rae Spandl | Family Medicine | 5109 36th Ave N, Crystal, MN 55422-2007 | 2012-05-15 |
| 1467746826 | Jennifer Lynn Chung | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2011-06-02 |
| 1194950303 | Ruby Waiyee Tam | Family Medicine | 5700 Bottineau Blvd, Suite 100, Crystal, MN 55429-3183 | 2009-05-18 |
| Find all providers in CRYSTAL | ||||
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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.