| Jonathan C Gipson, MD | |
|
9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 | |
| (763) 780-6699 | |
| (763) 420-0500 |
| Full Name | Jonathan C Gipson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 25 Years |
| Location | 9825 Hospital Dr Ste 105, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194705566 | NPI | - | NPPES |
| 073403900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 44697 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health | Robbinsdale, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Specialists In General Surgery, Ltd | 2466416128 | 17 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Specialists In General Surgery, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780649665 PECOS PAC ID: 2466416128 Enrollment ID: O20041112001167 |
| Entity Name | Hennepin Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C Gipson, MD 9825 Hospital Dr, Suite 105, Maple Grove, MN 55369-4479 Ph: (763) 780-6699 | Jonathan C Gipson, MD 9825 Hospital Dr Ste 105, Maple Grove, MN 55369-4769 Ph: (763) 780-6699 |
Dr. Adrianne L. Bowen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Dr. Kyle R Barker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Archana Ramaswamy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Corey J Stennes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 | |
Dr. Crystal Fialova Lumi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15552 68th Pl N, Maple Grove, MN 55311 Phone: 931-237-2265 Fax: 612-594-8998 | |
Dr. James K Croston, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0506 |