DR. TYSEN TIMMER (NPI# 1134614019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134614019 |
Entity Type | Individual |
Full Name | DR. TYSEN TIMMER |
Credential | MD |
Practice Address |
Sanford Health 801 Broadway North Fargo ND 58122-0170 |
Practice Telephone | 7012345933 |
Mailing Telephone | 7012345933 |
Mailing Fax Number | 7012347230 |
Enumeration Date | 2018-06-24 |
Last Update Date | 2018-06-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | RL15177 | ND | Student, Health Care |
Street Address |
SANFORD HEALTH 801 BROADWAY NORTH |
City | FARGO |
State | ND |
Zip Code | 58122-0170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659782258 | Sarah Fanai | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2014-05-16 |
1235781154 | Umama Zareen | Internal Medicine | Sanford Health, 5225, 23rd Ave S, Fargo, ND 58104 | 2019-07-11 |
1437671005 | Uns Kadhim Alwahab | Family Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2017-07-14 |
1710430301 | John Fox IIi | Student in an Organized Health Care Education/Training Program | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2016-07-29 |
1215480959 | Kevin David Robert Moran | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2016-07-29 |
1003269234 | Keri Lynn Crewson | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2016-07-22 |
1093167306 | Kim Belzberg | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2016-07-11 |
1316326150 | Jared Velgersdyk | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2015-05-27 |
1831578665 | Andrew Masato Aoshima | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2015-05-26 |
1871904292 | Kelly Marie Kerber | Student in an Organized Health Care Education/Training Program | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2014-05-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
1396203709 | Victoria Ann Davis | Student in an Organized Health Care Education/Training Program | 1340 Administration Avenue, Fargo, ND 58105 | 2019-03-05 |
1598229585 | Natalie Jean Steblay | Student in an Organized Health Care Education/Training Program | 1638 9th St N, Fargo, ND 58102-2210 | 2019-01-24 |
1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
1639600174 | David Parker | Student in an Organized Health Care Education/Training Program | 408 Roberts St N Apt 214, Fargo, ND 58102-4622 | 2017-03-26 |
1942731807 | Heather Liebe | Student in an Organized Health Care Education/Training Program | 3807 30th Ave S Apt 208, Fargo, ND 58104-7750 | 2017-03-22 |
1063866796 | Jerrod Tyler Heermans | Student in an Organized Health Care Education/Training Program | 3528 30th Ave S, Fargo, ND 58103-6239 | 2016-04-19 |
1780025932 | Gillian Amanda Gervais Freeborn | Student in an Organized Health Care Education/Training Program | 2102 Elm Street N, Fargo, ND 58102-2498 | 2013-07-16 |
1871839803 | Nicholas O'rourke | Student in an Organized Health Care Education/Training Program | 2526 9th St S, Fargo, ND 58103-5708 | 2012-12-19 |
1881952778 | Michael A Wolfe | Student in an Organized Health Care Education/Training Program | 3113 26th Ave S, Fargo, ND 58103-5079 | 2012-04-27 |
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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.