MICHAEL BOGENREIF (NPI# 1194787242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194787242 |
| Entity Type | Individual |
| Full Name | MICHAEL BOGENREIF |
| Credential | L/ATC |
| Practice Address |
3001 22nd St. S. Moorhead MN 56560 |
| Mailing Address |
3001 22nd St. South Moorhead MN 56560 |
| Practice Telephone | 7018991108 |
| Mailing Telephone | 7018991108 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
30305 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | SANFORD HEALTH | 450226909 | 01 |
| Street Address |
3001 22ND ST. S. |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279812 | Katelyn Mae Rohr | Specialist/Technologist | 3450 8th Ave S Apt 310, Moorhead, MN 56560-8172 | 2019-01-25 |
| 1942774310 | Tomomi Nishihara | Specialist/Technologist | 1320 10th Ave S, Moorhead, MN 56560-3771 | 2019-01-17 |
| 1033680954 | Grant David Brendemuhl | Specialist/Technologist | 238 120th Ave Nw, Moorhead, MN 56560-7224 | 2018-12-17 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1346658549 | Charles Meek | Specialist/Technologist | Minnesota State University Moorhead, Nemzek Hall Room 125, Moorhead, MN 56563 | 2014-07-31 |
| 1972651404 | Marion L. Askegaard | Specialist/Technologist | 901 8th St S, Concordia College, Moorhead, MN 56562-0001 | 2007-01-08 |
| 1255437380 | Meritcare Health Systems | Specialist/Technologist | 2300 4th Ave S, Moorhead, MN 56560-3269 | 2006-09-16 |
| 1356378848 | Keith Allen Wiedrich | Specialist/Technologist | 1107 7th St. S., Msu Moorhead - Athletics, Moorhead, MN 56563 | 2006-06-28 |
| 1336177682 | Dawn Margaret Hammerschmidt | Specialist/Technologist | Alex Nemzek Hall, 1104 Seventh Avenue South, Moorhead, MN 56563-5600 | 2006-06-28 |
| 1235103284 | Ronda K Peterson | Specialist/Technologist | 125 Nemzek, Msum, Moorhead, MN 56563 | 2006-02-15 |
| Find all providers in MOORHEAD | ||||
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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.