OrganizationActive
Itasca Surgical Clinic, PA
NPI 1245288984 · Specialist · Grand Rapids, MN
Itasca Surgical Clinic, PA is a Specialist organization in Grand Rapids, MN (NPI 1245288984).
Provider details
- NPI number
- 1245288984
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Daniel Margo, Owner(218) 327-7973
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1542 Golf Course Rd
Suite 202
Grand Rapids, MN 55744-9603
Phone: (218) 327-7973
Fax: (218) 327-3245
Street-level locationGet directions
Mailing address
3920 13th Ave E
Hibbing, MN 55746-3675
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2009-07-09
Frequently asked questions
- What is Itasca Surgical Clinic, PA's NPI number?
- Itasca Surgical Clinic, PA's National Provider Identifier (NPI) is 1245288984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Itasca Surgical Clinic, PA?
- Itasca Surgical Clinic, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Itasca Surgical Clinic, PA located?
- Itasca Surgical Clinic, PA's practice location on file with NPPES is 1542 Golf Course Rd, Grand Rapids, MN 55744-9603.
- What is Itasca Surgical Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Itasca Surgical Clinic, PA is (218) 327-7973.
- Who is the authorized official for Itasca Surgical Clinic, PA?
- The authorized official listed on Itasca Surgical Clinic, PA's NPPES record is Daniel Margo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Itasca Surgical Clinic, PA's NPI active?
- Yes — Itasca Surgical Clinic, PA's NPI (1245288984) is active in the NPPES registry as of the last update on 2009-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.