LINDA DUPPONG (NPI# 1053399436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053399436 |
| Entity Type | Individual |
| Full Name | LINDA DUPPONG |
| Credential | PA-C |
| Practice Address |
602 Ash Ave Glen Ullin ND 58631 |
| Mailing Address |
Po Box 640 Glen Ullin ND 58631-0640 |
| Practice Telephone | 7013489175 |
| Practice Fax Number | 7013489177 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0021 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10485 | 05 |
| Street Address |
602 ASH AVE |
| City | GLEN ULLIN |
| State | ND |
| Zip Code | 58631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235302878 | Mark William Bogert | Physical Therapist | 602 Ash Ave, Glen Ullin, ND 58632-0065 | 2008-04-03 |
| 1023096419 | Glen Ullin Family Medical Center | Family Medicine | 602 Ash Ave, Glen Ullin, ND 58631 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766525 | Glen Ullin Ambulance Service | Ambulance | 206 2nd St South, Glen Ullin, ND 58631 | 2006-11-15 |
| 1427132661 | Meagan Shillingstad | Occupational Therapist | 604 Ash Ave E, Glen Ullin, ND 58631 | 2006-10-24 |
| 1003929944 | Jacobson Memorial Hospital Care Center | Clinic/Center | 602 Ash Ave E, Glen Ullin, ND 58631 | 2006-08-16 |
| 1992822464 | Tyrone Langager | Family Medicine | 602 Ash Ave E, Glen Ullin, ND 58631 | 2007-03-22 |
| 1841363207 | Dale Clyde Sease | Pharmacist | 113 South Main St, Glen Ullin, ND 58631-0670 | 2006-11-15 |
| 1619151206 | Churchill Pharmacy Incorporated | Pharmacy | 113 S Main St, Glen Ullin, ND 58631-7101 | 2007-12-19 |
| 1053338525 | Glen Ullin Rhc | Chiropractor | 117 S Main St, Glen Ullin, ND 58631-7101 | 2006-07-17 |
| 1316948631 | Marian Manor Community Corporation | Skilled Nursing Facility | 604 E Ash Ave, Glen Ullin, ND 58631-7138 | 2005-08-09 |
| 1699186098 | Sara Farrell | Physical Therapist | 604 E Ash Ave, Glen Ullin, ND 58631-7138 | 2014-05-19 |
| 1255565354 | Kayla Kremers | Occupational Therapist | 604 E Ash Ave, Glen Ullin, ND 58631-7138 | 2009-05-05 |
| Find all providers in zip 58631 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354005 | Jessica Lynn O'neal | Physician Assistant | 112 Roaming Rd Apt 1, Minot Afb, ND 58704-1221 | 2020-10-23 |
| 1710473764 | Larissa Ann Haug | Physician Assistant | 1200 Roberts Avenue Ne, Cooperstown, ND 58425-7101 | 2018-07-02 |
| 1205350279 | Jillian Clyburn | Physician Assistant | 5th Medical Group, Bldg #194, 10 Missile Ave, Minot Afb, ND 58704 | 2017-08-01 |
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1629449418 | Ashton Leigh Hedger | Physician Assistant | 1001 7th St. Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2015-10-19 |
| 1831430644 | Danielle Rae Anderson | Physician Assistant | 401 N 9th St # T, Bismarck, ND 58501-4530 | 2013-03-05 |
| 1174895833 | Kacie M Brown | Physician Assistant | 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204-1378 | 2012-01-27 |
| 1306123435 | Jamelle Lelito | Physician Assistant | 310 N 9th St Ste 1, Bismarck, ND 58501-4515 | 2011-11-03 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ULLIN |
| Zip Code | 58631 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.