JEANINE L ROEMBACH


Address: 100 4th St S, Fargo, ND 58103-1929
Phone: 7012344141

JEANINE L ROEMBACH (NPI# 1306867528) 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) 1306867528
Entity Type Individual
Full Name JEANINE L ROEMBACH
Credential MD
Practice Address 100 4th St S
Fargo
ND 58103-1929
Practice Telephone 7012344141
Practice Fax Number 7012344137
Mailing Telephone 7012344141
Mailing Fax Number 7012344137
Enumeration Date 2006-07-22
Last Update Date 2012-05-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
7648 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND 10028 05
MN 792216700 05

Office Location

Street Address 100 4TH ST S
City FARGO
State ND
Zip Code 58103-1929

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720078405 Mark Allan Schaffer Dentist 100 4th St S, Suite 312, Fargo, ND 58103-1929 2005-10-25
1386280261 Canopy Medical Clinic, Pllc Nurse Practitioner 100 4th St S, Fargo, ND 58103-1929 2019-11-26
1437715166 Diana Rose Slivensky Psychologist 100 4th St S, Fargo, ND 58103-1929 2019-05-17
1861945784 Resolve Behavioral Health, LLC Community/Behavioral Health 100 4th St S, Fargo, ND 58103-1929 2016-07-27
1578927315 Jason Cossette Pharmacist 100 4th St S, Fargo, ND 58103-1929 2016-04-07
1437521366 Nicole A Kiewel Clinical Neuropsychologist 100 4th St S, Fargo, ND 58103-1929 2015-10-30
1821472143 Angela M Lee Nurse Practitioner 100 4th St S, Fargo, ND 58103-1929 2015-07-16
1104231992 Mustafa Abdulhusein Psychiatry & Neurology 100 4th St S, Fargo, ND 58103 2014-06-30
1609205988 Robyn Maley Psychologist 100 4th St S, Fargo, ND 58103-1929 2013-11-06
1699102897 Lindsey Marie Sloan Peterson Nurse Practitioner 100 4th St S, Fargo, ND 58103-1929 2013-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346479185 Nivedita Sudhir Nadkarni Psychiatry & Neurology 1702 University Drive South, Fargo, ND 58103 2009-07-14
1538218391 Jane Charlotte Gaffrey Psychiatry & Neurology 100 4th St S, Fargo, ND 58103-1929 2007-01-10
1982622528 Kenneth J Fischer Psychiatry & Neurology 100 4th St S, Fargo, ND 58103-1929 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124064431 Laura B Schield Psychiatry & Neurology 2787 97th Ave Nw, Bismarck, ND 58503-8452 2006-06-22
1376958397 Kenneth Chidi Asogwa Psychiatry & Neurology 860 S Columbia Rd, Grand Forks, ND 58201 2014-06-28
1245541895 Stephanie Jallen Psychiatry & Neurology 900 E Broadway Ave, Bismarck, ND 58501-4520 2010-06-29
1619297785 Jacqueline M Bell Psychiatry & Neurology 1900-8th Ave. S.e., Minot, ND 58701-4935 2010-06-10
1003952144 Kondal Madaram Psychiatry & Neurology 1000 S Columbia Rd, Grand Forks, ND 58201-4032 2007-01-29
1326119884 Deidre L Richards Psychiatry & Neurology 1900 8th Ave Se, Minot, ND 58701-4935 2006-11-13

Competitor

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City FARGO
Zip Code 58103

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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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