MNGI ENDOSCOPY ASC INC (NPI# 1669496345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669496345 |
| Entity Type | Organization |
| Organization Name | MNGI ENDOSCOPY ASC INC |
| Practice Address |
3001 Broadway St Ne Ste 500 Minneapolis MN 55413 |
| Mailing Address |
Po Box 14909 Minneapolis MN 55414-0909 |
| Practice Telephone | 6128711145 |
| Practice Fax Number | 6128705491 |
| Mailing Telephone | 6128711145 |
| Mailing Fax Number | 6128705491 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | SCOTT KETOVER (PRESIDENT) |
| Authorized Official Telephone | 6128711145 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
PENDING | MN | Ambulatory Health Care Facilities |
| Street Address |
3001 BROADWAY ST NE STE 500 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609804541 | Mngi Digestive Health, P.a. | Internal Medicine | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413 | 2006-06-29 |
| 1447456744 | Jennifer Elizabeth Burke | Anesthesiology | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2007-06-23 |
| 1548372840 | Gregory Simelgor | Anesthesiology | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2006-08-31 |
| 1689606287 | Glenn Richard Gourley | Pediatrics | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2006-07-06 |
| 1649209966 | Eric J Meyer | Physician Assistant | 3001 Broadway St Ne Ste 500, Minneapolis, MN 55413-2197 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372274 | Alysia R Schwartz | Counselor | 2155 E Hennepin Ave, Minneapolis, MN 55413 | 2019-12-09 |
| 1427609304 | Lingguang Liu | Acupuncturist | 2021 East Hennepin Ave, Suite 412, Minneapolis, MN 55413 | 2019-09-23 |
| 1437708617 | Dream Home Health Care Inc | Home Health | 2021 E Hennepin Ave, Ste 190, Minneapolis, MN 55413 | 2019-09-10 |
| 1831746536 | Aline Care | Case Management | 1730 New Brighton Blvd Ste 300, Minneapolis, MN 55413 | 2019-08-19 |
| 1073171534 | Relate Nutrition & Therapy | Dietitian, Registered | 79 13th Ave Ne, Suite 103b, Minneapolis, MN 55413 | 2019-05-30 |
| 1740703461 | Emily Rudert | Counselor | 5407 Excelsior Blvd Suite A, B, & E, St. Louis Park, MN 55413 | 2017-07-25 |
| 1316305485 | Capital Transportation LLC | Non-emergency Medical Transport (VAN) | 34 13th Ave Ne #b004, Minneapolis, MN 55413 | 2016-02-04 |
| 1861819989 | Traditionally Healthy | Chiropractor | 1211 Jackson St Ne, Suite 121, Minneapolis, MN 55413 | 2014-03-26 |
| 1588000871 | Aztec's Transportation and Home-care LLC | Non-emergency Medical Transport (VAN) | 843 Summer St Ne #2, Minneapolis, MN 55413 | 2013-05-14 |
| 1114285418 | Best Care Transportation | Non-emergency Medical Transport (VAN) | 2021 E Hennepin Ave Ste. 187, Minneapolis, MN 55413 | 2012-04-25 |
| Find all providers in zip 55413 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
| 1255519351 | North Star Surgical Services, LLC | Clinic/Center | 40 S. 7th St, Suite 126, Minneapolis, MN 55402-1644 | 2008-01-31 |
| 1063019586 | Greenway Surgical Suites, LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2020-10-07 |
| 1659849735 | Tria Orthopaedic Center, LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2018-11-07 |
| 1275067068 | University of Minnesota Health Clinics and Surgery Center, Inc | Clinic/Center | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2017-04-18 |
| 1972988400 | Tria Orthopaedic Center Asc LLC | Clinic/Center | 8100 Northland Dr, Minneapolis, MN 55431-4800 | 2015-07-27 |
| 1639553779 | University of Minnesota Health Clinics and Surgery Center, Inc. | Clinic/Center | 909 Fulton St Se, Minneapolis, MN 55414-0000 | 2015-07-18 |
| 1205102613 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 East 28th Street, Suite 100, Minneapolis, MN 55407-1453 | 2012-03-29 |
| 1902172745 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2012-03-27 |
| 1215056239 | Minnesota Surgery Center, Ltd. | Clinic/Center | 2104 Northdale Blvd Nw, Suite 220, Minneapolis, MN 55433-3046 | 2007-03-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55413 |
Please comment or provide details below to improve the information on MNGI ENDOSCOPY ASC INC.
| 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.