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 is a Gastroenterology Physician 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
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