MEDCENTER ONE INC (NPI# 1396880027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396880027 |
| Entity Type | Organization |
| Organization Name | MEDCENTER ONE INC |
| Other Organization Name | MEDCENTER ONE HEALTH SYSTEMS BONE SPINE SPORTS CLINIC |
| Practice Address |
225 N 7th St Bismarck ND 58501-4417 |
| Mailing Address |
Po Box 5501 Bismarck ND 58506-5501 |
| Practice Telephone | 7013236140 |
| Practice Fax Number | 7013235709 |
| Mailing Telephone | 7013236000 |
| Mailing Fax Number | 7013235709 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEIGH ANN THOMPSON (DIRECTOR OF CLINIC FINANCE) |
| Authorized Official Telephone | 7013236000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ND | Allopathic & Osteopathic Physicians | |
| X | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
ND | Allopathic & Osteopathic Physicians | |
| X | 207X00000X | Orthopaedic Surgery | ND | Allopathic & Osteopathic Physicians | |
| X | 207Y00000X | Otolaryngology | ND | Allopathic & Osteopathic Physicians | |
| X | 208800000X | Urology | ND | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEDCENTER ONE HEALTH SYSTEMS BONE SPINE SPORTS CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811190465 | Medcenter One Inc | Urology | 12 1st St W, City Center Plaza, Dickinson, ND 58601-5106 | 2007-06-08 |
| 1881739977 | Medcenter One Inc | Family Medicine | 1040 Tacoma Ave, Bismarck, ND 58504 | 2007-02-20 |
| 1326103920 | Medcenter One Inc | Family Medicine | 3318 N. 14th St, Bismarck, ND 58503 | 2006-12-26 |
| 1831469972 | Medcenter One Inc | Family Medicine | 801 21st Ave Se, Minot, ND 58701 | 2012-01-06 |
| 1205039856 | Medcenter One Inc | Psychologist | 820 5th St N, Carrington, ND 58421-1223 | 2007-06-08 |
| 1922143973 | Medcenter One Inc | Hearing Instrument Specialist | 1929 N Washington St, Northbrook Mall, Bismarck, ND 58501-1616 | 2007-02-20 |
| 1629113477 | Medcenter One Inc | Family Medicine | 2830 N Washington St, Bismarck, ND 58503-1482 | 2007-02-20 |
| 1013071158 | Medcenter One Inc | Family Medicine | 938 2nd Ave W, Dickinson, ND 58601-3916 | 2006-12-21 |
| 1033273909 | Medcenter One Inc | Family Medicine | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2006-12-21 |
| 1285798157 | Medcenter One Inc | Family Medicine | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-12-21 |
| Street Address |
225 N 7TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144240532 | Ian C Fyfe | Orthopaedic Surgery | 225 N 7th St, Bismarck, ND 58501-4417 | 2006-07-20 |
| 1861043234 | Amy Marie Keller | Family Medicine | 225 N 7th St, Bismarck, ND 58501-4417 | 2019-09-26 |
| 1265088371 | Jordan Davis | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2019-08-14 |
| 1245899103 | Nadine Brew | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2019-06-13 |
| 1376045245 | Doug Nickels | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2018-03-06 |
| 1184132813 | Caleb Josef Balas | Physician Assistant | 225 N 7th St, Bismarck, ND 58501-4417 | 2018-01-16 |
| 1649717851 | Breann Marie Raymond | Nurse Practitioner | 225 N 7th St, Bismarck, ND 58501-4417 | 2017-01-25 |
| 1679931067 | Amanda Helm | Nurse Practitioner | 225 N 7th St, Bismarck, ND 58501-4417 | 2016-02-01 |
| 1023473725 | Kari Lynn Harris | Physical Therapist | 225 N 7th St, Bismarck, ND 58501-4417 | 2015-12-22 |
| 1447628144 | Dean Lorrie Chumley | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2015-09-11 |
| Find all providers in the same location | ||||
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1891958435 | Lisa Francis | Internal Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2008-07-03 |
| 1346321429 | Nowarat Songsiridej | Internal Medicine | 900 E Broadway Avenue, Bismarck, ND 58501 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346549508 | Meghan Marie Scheibe | Internal Medicine | 1702 South University Drive, Eh South University Clinic, Fargo, ND 58103-4940 | 2011-03-26 |
| 1639195357 | Christian R Dequet | Internal Medicine | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2006-07-14 |
| 1861873564 | Sonya Mehta | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2015-06-18 |
| 1679830855 | Lorna Celeste Campbell | Internal Medicine | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2012-04-12 |
| 1518288406 | Melissa Brauner Blom | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2010-06-15 |
| 1891995445 | Esperanza S Argenziano | Internal Medicine | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-07-23 |
| 1952500803 | Viktorija Overiene | Internal Medicine | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2007-07-12 |
| 1245328681 | Erdal Diri | Internal Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-10-11 |
| 1629169032 | Mahfooz Peshimam | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-09-28 |
| 1184652414 | Joseph B Sleckman | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-06-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDCENTER ONE INC.
| 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.