Northland Gastroenterology
NPI 1093884504 · Gastroenterology Physician · Excelsior Springs, MO
Northland Gastroenterology is a Gastroenterology Physician organization in Excelsior Springs, MO (NPI 1093884504).
Provider details
- NPI number
- 1093884504
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brandi Potter, Billing(816) 554-3838
- License
- R9779 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2008-07-08
Frequently asked questions
- What is Northland Gastroenterology's NPI number?
- Northland Gastroenterology's National Provider Identifier (NPI) is 1093884504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northland Gastroenterology?
- Northland Gastroenterology is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Northland Gastroenterology located?
- Northland Gastroenterology's practice location on file with NPPES is 1345 N Jesse James Rd, Excelsior Springs, MO 64024-1183.
- What is Northland Gastroenterology's phone number?
- The practice phone number listed in the NPPES registry for Northland Gastroenterology is (816) 630-0900.
- Who is the authorized official for Northland Gastroenterology?
- The authorized official listed on Northland Gastroenterology's NPPES record is Brandi Potter, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northland Gastroenterology's NPI active?
- Yes — Northland Gastroenterology's NPI (1093884504) is active in the NPPES registry as of the last update on 2008-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.