Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northland Gastroenterology

Organization Gastroenterology Physician · NPI 1093884504

Northland Gastroenterology provides Gastroenterology Physician services in Excelsior Springs, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

1345 N Jesse James Rd
Excelsior Springs, MO 64024-1183 Not confirmed with CMS for 18 years — call before visiting
Phone: (816) 630-0900
Fax: (816) 637-3250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence R9779 (MO)

Record details

NPI number1093884504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandi Potter — Billing · (816) 554-3838
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 8, 2008
Mailing address1345 N Jesse James Rd, Excelsior Springs, MO 64024-1183