DR. TYSEN TIMMER


Address: Sanford Health, 801 Broadway North, Fargo, ND 58122-0170
Phone: 7012345933

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address SANFORD HEALTH
801 BROADWAY NORTH
City FARGO
State ND
Zip Code 58122-0170

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 58122

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58122

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Dataset Information

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.

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