BISMARCK NEPHROLOGY INC. (NPI# 1356556005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356556005 |
| Entity Type | Organization |
| Organization Name | BISMARCK NEPHROLOGY INC. |
| Practice Address |
1714 N 9th St Bismarck ND 58501-1837 |
| Practice Telephone | 7012233961 |
| Practice Fax Number | 7012233971 |
| Mailing Telephone | 7012233961 |
| Mailing Fax Number | 7012233971 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELIZABETH SUNDBERG (PRESIDENT) |
| Authorized Official Telephone | 7012233961 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 14150 | 05 |
| Street Address |
1714 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124183728 | Wayne A Mattern | Dentist | 1714 N 9th St, Bismarck, ND 58501 | 2006-12-26 |
| 1154960979 | Anthony Frank Dds PC | Clinic/Center | 1714 N 9th St, Bismarck, ND 58501-1837 | 2019-12-26 |
| 1144487505 | Anthony Ray Frank | Dentist | 1714 N 9th St, Bismarck, ND 58501-1837 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063638989 | Syed Fahim Ul Hassan | Internal Medicine | 542 Cottonwood Loop, Bismarck, ND 58504-7410 | 2007-04-18 |
| 1225220783 | Yasir Lal | Internal Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-08-17 |
| 1124194535 | Charles Jackson Smith | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-11-28 |
| 1285716639 | Abel E Tello | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-10-19 |
| 1164514519 | Sunanda Jain | Internal Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457715161 | Mahmoud Mahmoud | Internal Medicine | Sanford Medical Center, 5225 23rd Ave S, Fargo, ND 58104 | 2016-04-08 |
| 1962806448 | Jaia Rayne Ram | Internal Medicine | 4901 44th Ave S, Apt 109, Fargo, ND 58104-3992 | 2014-10-13 |
| 1053559906 | Ashish Vijayakumar Regulagadda | Internal Medicine | 736 Broadway N, Fargo, ND 58122 | 2009-01-30 |
| 1396997649 | Gautam Mukund Phadke | Internal Medicine | 801 Broadway N, Sanford Health Care System, Fargo, ND 58102-3641 | 2008-10-17 |
| 1528216926 | Mohammed H Rahman | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2008-08-28 |
| 1497942866 | Aqeel Ahmad | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2007-10-01 |
| 1144394388 | Byron D. Danielson | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-11-20 |
| 1891802278 | Jeffrey Wayne Skogen | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-08-23 |
| 1316964307 | Thomas D Ahlin | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-07-16 |
| 1740207745 | Gopal Krishna Chemiti | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-16 |
| Find all providers with the same taxonomy | ||||
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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.