SANFORD CLINIC NORTH (NPI# 1447292826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447292826 |
| Entity Type | Organization |
| Organization Name | SANFORD CLINIC NORTH |
| Other Organization Name | SANFORD HEALTH JAMESTOWN CLINIC |
| Practice Address |
904 5th Ave Ne Jamestown ND 58401-3437 |
| Practice Telephone | 7012534000 |
| Practice Fax Number | 7012534040 |
| Mailing Telephone | 7012534000 |
| Mailing Fax Number | 7012534040 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-11-19 |
| Authorized Official Name | MARTHA K LECLERC (VP) |
| Authorized Official Telephone | 7012346248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 805223900 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Health Jamestown Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1386099026 | Sanford Clinic North | Clinic/Center | 625 Demers Ave, East Grand Forks, MN 56721-1833 | 2016-05-02 |
| 1922361716 | Sanford Clinic North | Internal Medicine | 2960 Seter Pkwy, Fargo, ND 58104-8692 | 2012-06-18 |
| 1922303213 | Sanford Clinic North | Clinic/Center | 1245 Washington Avenue, Detroit Lakes, MN 56501-3905 | 2011-01-18 |
| 1437355393 | Sanford Clinic North | Family Medicine | 929 Central Avenue, East Grand Forks, MN 56721 | 2007-06-26 |
| 1124122783 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 4000 28th Ave S, Moorhead, MN 56560 | 2006-09-12 |
| 1679677124 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 1233 34th St Nw Ste C, Bemidji, MN 56601 | 2006-09-12 |
| 1073520003 | Sanford Clinic North | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-02 |
| 1164439196 | Sanford Clinic North | Clinic/Center | 100 1st Avenue Sw, Suite 2, Lamoure, ND 58458-7311 | 2006-08-02 |
| 1255348280 | Sanford Clinic North | Clinic/Center | 21 Wiley Avenue South, Lidgerwood, ND 58053-4001 | 2006-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SANFORD CLINIC NORTH | 801 Broadway North, Fargo, ND 58122 |
| System for Award Management (SAM) Entities | SANFORD CLINIC NORTH FARGO | 801 Broadway N, Fargo, ND 58102-3641 |
| Street Address |
904 5TH AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568449114 | Debra A Geier | Internal Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2005-12-26 |
| 1437693009 | Mollie Merriam | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2016-12-15 |
| 1083021059 | Brittany Gannarelli | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2014-07-22 |
| 1275973091 | Justin Jackson Rosenau | Family Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-06-25 |
| 1144568767 | Amanda S Wiles | Nurse Practitioner | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-01-17 |
| 1124308465 | Sanford Medical Center Fargo | Surgery | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-08-18 |
| 1962797902 | Wendy L Hager | Dietary Manager | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-06-17 |
| 1447564729 | Erin A Nieland | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-07-29 |
| 1194045963 | Leann Marie Cimbura | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-06-03 |
| 1679891907 | Patrick Roger Walter | Physician Assistant | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1255549358 | Barbara Merovich | Internal Medicine | 865 E Jamestown Rd, Jamestown, PA 16134-9505 | 2007-05-21 |
| 1407074057 | Umamaheswara Rao Vejendla Physician PC | Internal Medicine | 152 Foote Avenue, Jamestown, NY 14701 | 2007-04-20 |
| 1568593010 | Linda Rose Jordan | Internal Medicine | 15 S Main St Ste 300, Jamestown, NY 14701-6626 | 2007-03-08 |
| 1073536884 | Jonathan D. Allred M.d.p.c. | Internal Medicine | 234 West Central Avenue, Jamestown, TN 38556 | 2006-07-25 |
| 1134185127 | Jonathan D Allred | Internal Medicine | 234 W Central Ave, Jamestown, TN 38556-3405 | 2006-04-26 |
| 1891759270 | William Falcon Hopper IIi | Internal Medicine | 4810 W Wendover Ave, Jamestown, NC 27282-8300 | 2006-04-13 |
| 1063486611 | Mumtaz Karimi | Internal Medicine | 890 E Second Street, Jamestown, NY 14701 | 2006-02-13 |
| 1568449114 | Debra A Geier | Internal Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2005-12-26 |
| 1801892708 | Christina M Brown | Internal Medicine | 15 S Main St, Suite 153, Jamestown, NY 14701-6626 | 2005-06-24 |
| 1619423829 | Chad A Conatser Md Pllc | Internal Medicine | 418 B West Central Avenue, Jamestown, TN 38556 | 2016-08-28 |
| Find all providers in JAMESTOWN | ||||
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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.