DR. KARIN M MCCONVILLE


Address: 1300 S. Columbia Rd, Grand Forks, ND 58201
Phone: 7017802300

DR. KARIN M MCCONVILLE (NPI# 1154594919) 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) 1154594919
Entity Type Individual
Full Name DR. KARIN M MCCONVILLE
Credential MD
Practice Address 1300 S. Columbia Rd
Grand Forks
ND 58201
Mailing Address 2401 Demers Ave
Grand Forks
ND 58201
Practice Telephone 7017802300
Practice Fax Number 5302443703
Mailing Telephone 7017801891
Enumeration Date 2008-04-11
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery MD446591 PA Allopathic & Osteopathic Physicians
N 208600000X Surgery 14813 ND Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
C160683 CA Allopathic & Osteopathic Physicians
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
14813 ND Allopathic & Osteopathic Physicians

Office Location

Street Address 1300 S. COLUMBIA RD
City GRAND FORKS
State ND
Zip Code 58201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205480704 Michael Opoku-darko Neurological Surgery 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 2019-08-01
1235544313 Oscar Luis Llanos Ulloa Internal Medicine 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 2014-06-26
1871934083 Maria Isabel Pino Argumedo Internal Medicine 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 2013-07-16

Providers in the same zip code

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 Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861412892 William Kirby Becker Surgery 2101 Elm St N, Fargo, ND 58102-2417 2006-07-20

Competitor

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City GRAND FORKS
Zip Code 58201

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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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