KEITH W MILLETTE (NPI# 1144312570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144312570 |
| Entity Type | Individual |
| Full Name | KEITH W MILLETTE |
| Credential | MD |
| Practice Address |
1380 S Columbia Rd Grand Forks ND 58201-4059 |
| Mailing Address |
Po Box 6002 Grand Forks ND 58206-6002 |
| Practice Telephone | 7017952000 |
| Mailing Telephone | 7017805000 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5697 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
1380 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639195357 | Christian R Dequet | Internal Medicine | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2006-07-14 |
| 1356972665 | Leslie Erica Rodriguez | Nurse Practitioner | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2020-01-27 |
| 1548812704 | Jennifer Hayes | Physician Assistant | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2019-07-09 |
| 1922669324 | Megan Price | Social Worker | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2019-06-26 |
| 1093201402 | Beth Brynjulson | Nurse Practitioner | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2018-07-09 |
| 1700371952 | Ashley Ann Nephew | Nurse Practitioner | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2018-06-28 |
| 1366965527 | Kelsey Anne Adams | Nurse Practitioner | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2017-07-19 |
| 1114466828 | Altru Health System | Clinic/Center | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2017-02-14 |
| 1417367996 | Joshua Kenneth Sayler | Obstetrics & Gynecology | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2014-05-06 |
| 1811334030 | Shannon Holsen | Family Medicine | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
| 1871762088 | Rapidcare Urgent Care | Family Medicine | 1101 S Columbia Rd, Grand Forks, ND 58201-4055 | 2008-02-22 |
| 1063430122 | A Marc Nielsen | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2006-07-17 |
| 1841217320 | Heidi J Philpot | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2006-07-17 |
| 1811956154 | Elizabeth A. Burns | Family Medicine | 2nd Ave. N., 100 Mccannel Hall, Grand Forks, ND 58202-9038 | 2006-03-23 |
| 1083674337 | Charles E. Christianson | Family Medicine | 501 Columbia Rd, Department of Family and Community Medicine, Grand Forks, ND 58202-9037 | 2006-03-23 |
| 1073513982 | Jonathon H Berg | Family Medicine | 1300 South Columbia Road, Grand Forks, ND 58201-4032 | 2005-07-21 |
| 1023626462 | Gianfranco Tarsitano | Family Medicine | 725 Hamline Street, Grand Forks, ND 58203 | 2020-07-22 |
| 1093335622 | Kelsie Brooks | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2020-04-23 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.