MR. JOHN MICHAEL TATE (NPI# 1134141708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134141708 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL TATE |
| Credential | MD |
| Practice Address |
1702 University Dr S Fargo ND 58103-4940 |
| Mailing Address |
400 E 3rd St Duluth MN 55805-1951 |
| Practice Telephone | 7013643300 |
| Practice Fax Number | 7013648906 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
44110 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
8586 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 909685000 | 05 | |
| ND | 11355 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 712 South Cascade Street, Fergus Falls, MN 565372813 | 2187368000 | 2187368757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326132564 | John Michael Tate | Dentist | 3101 E State Highway 114 Ste A, Southlake, TX 76092-6639 | 2006-10-03 |
| 1225079007 | John Louis Tate | Specialist | 206a Babb Dr, Lebanon, TN 37087-2508 | 2006-06-10 |
| 1689214256 | John Michael Tate | Chiropractor | 3330 Matlock Rd Ste 206, Arlington, TX 76015-2921 | 2020-01-13 |
| 1114439254 | John Tate II | Social Worker | 420 7th St, Racine, WI 53403-1222 | 2017-10-30 |
| 1013329358 | John Parker Tate | Occupational Therapist | 247 Oak St, Suite 145, Forest City, NC 28043-3510 | 2014-05-21 |
| 1275802282 | John David Tate | Counselor | 1430 Willow Ln, Westpark C61-2 N, North Wilkesboro, NC 28659-3551 | 2011-12-20 |
| 1376837807 | John Tyler Tate | Dentist | 3101 E State Highway 114 Ste A, Southlake, TX 76092-6639 | 2011-06-01 |
| 1801017025 | John L Tate | Dentist | 2088b E Main St, Spartanburg, SC 29307-1425 | 2007-05-02 |
| 1477672814 | John Lee Tate | Physical Therapy Assistant | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2007-03-28 |
| 1437299393 | John Lewis Tate | Massage Therapist | 1125 S 3rd St, Mount Vernon, WA 98273-4303 | 2007-02-07 |
| Street Address |
1702 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223023 | Kimberly Rae Kelly | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2005-08-26 |
| 1467060046 | Jessica Marie Munro | Optometrist | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-07-20 |
| 1972132249 | Kalee Irene Wysuph | Student in an Organized Health Care Education/Training Program | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-04-07 |
| 1699314617 | April M Sweet | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-12-23 |
| 1427603588 | Annelise Sterneman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-08-06 |
| 1518511799 | Morgan A Schmitz | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-26 |
| 1093367799 | Josalyn J Grueneich | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-12 |
| 1295395176 | Amanda J Coronato | Occupational Therapist | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-06-13 |
| 1962976068 | Moriah M Anderson | Dietitian, Registered | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-01-11 |
| 1811489743 | Karli Lenae Roman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124053285 | Preston D Steen | Internal Medicine | 820 4th Street North, Fargo, ND 58122-0001 | 2006-07-11 |
| 1245551134 | Tadeu F Ambros | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2010-06-15 |
| 1659477354 | Eugene Joseph Tilchen | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-09-16 |
| 1669494209 | Denise Suzanne Snow | Internal Medicine | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-24 |
| 1558389106 | Carol Jean Grimm | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| 1811914583 | John M Leitch | Internal Medicine | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-17 |
| 1548287212 | Ralph Levitt | Internal Medicine | 820 4th St N, Fargo, ND 58102-4539 | 2006-07-17 |
| 1225073661 | Mark Mutuota Gitau | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134147713 | Ngozi O Nwakamma-okoro | Internal Medicine | 960 S Columbia Rd - Altru Cancer Center, Grand Forks, ND 58201 | 2006-07-18 |
| 1366416737 | Sanford Clinic North | Internal Medicine | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
Please comment or provide details below to improve the information on MR. JOHN MICHAEL TATE.
| 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.