ELIZABETH ELAINE SUNDBERG (NPI# 1407902919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407902919 |
Entity Type | Individual |
Full Name | ELIZABETH ELAINE SUNDBERG |
Credential | MD PHD |
Practice Address |
601 East St. N Elgin ND 58533 |
Practice Telephone | 7015842792 |
Mailing Telephone | 7015842792 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2019-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 9008 | ND | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
9008 | ND | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | STATE LICENSE | 28837 | 01 |
ND | 1457964 | 05 | |
ND | STATE LICENSE | 9008 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457983140 | Elizabeth Sundberg | Pharmacist | 1701 N Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2020-02-10 |
Street Address |
601 EAST ST. N |
City | ELGIN |
State | ND |
Zip Code | 58533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740820299 | Three In One Physical Therapy, Pllc | Physical Therapist | 207 Main Street North, Elgin, ND 58533 | 2020-01-13 |
1033233150 | Nancy L Mcpherson | Physician Assistant | 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 | 2007-03-16 |
1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
1013012327 | Family Vision Clinic LLP | Optometrist | 110 Main St N, Elgin, ND 58533 | 2006-09-13 |
1508161811 | Deepak Manmohan Goyal | Internal Medicine | 603 East St N, Elgin, ND 58533 | 2011-01-18 |
1821392093 | Home Town Health | Physician Assistant | 302 N Main St, Elgin, ND 58533 | 2011-01-03 |
1396895942 | Marcia Ketterling | Nurse Practitioner | 302 N Main St, Elgin, ND 58533 | 2007-01-12 |
1023036050 | Economy Drug Inc | Pharmacy | 201 N Main St, Elgin, ND 58533 | 2006-07-17 |
1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
Find all providers in zip 58533 |
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 |
---|---|---|---|---|
1669586475 | Ravi K Damaraju | Internal Medicine | 1710 N Randall Rd. Suite 330, Elgin, IL 60123 | 2006-08-18 |
1811165962 | Irum Shahab | Internal Medicine | 1710 N Randall Rd Ste 330, Elgin, IL 60123-9405 | 2008-02-12 |
1821215856 | Aarthi Vijaykumar | Internal Medicine | 1710 N Randall Rd Ste 330, Elgin, IL 60123-9405 | 2007-04-19 |
1457340093 | Nephrology Associates At Elgin Clinic PC | Internal Medicine | 1530 N Randall Rd, Suite 200, Elgin, IL 60123-7877 | 2005-10-17 |
1225027873 | Mohammad Zahid | Internal Medicine | 1530 N Randall Rd, Suite 200, Elgin, IL 60123-7877 | 2005-10-17 |
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 |
1063638989 | Syed Fahim Ul Hassan | Internal Medicine | 542 Cottonwood Loop, Bismarck, ND 58504-7410 | 2007-04-18 |
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 |
1225220783 | Yasir Lal | Internal Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-08-17 |
1356556005 | Bismarck Nephrology Inc. | Internal Medicine | 1714 N 9th St, Bismarck, ND 58501-1837 | 2007-05-14 |
1124194535 | Charles Jackson Smith | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-11-28 |
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.