DR. STEVEN KENT ANDERSON (NPI# 1518991678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518991678 |
| Entity Type | Individual |
| Full Name | DR. STEVEN KENT ANDERSON |
| Credential | M.D. |
| Practice Address |
1717 University Dr S Fargo ND 58103-4939 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-0605 |
| Practice Telephone | 7012342305 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 11456 | ND | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | LT 11456 | ND | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 070074 | MI | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | A91472 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PPIN# | 00A914720 | 01 |
| ND | 11488 | 05 | |
| MI | 4400978 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538387386 | Steven Carl Anderson | Pharmacist | 47 Nottingham Rd, Deerfield, NH 03037-1532 | 2007-04-24 |
| 1326264599 | Steven Mark Anderson | Licensed Practical Nurse | 1511 Tiffany St, Boyceville, WI 54725-9543 | 2007-04-17 |
| 1003945403 | Steven R Anderson | Optometrist | 114 S Court St, Sullivan, IN 47882-1801 | 2007-03-04 |
| 1851446405 | Steven E Anderson | Dentist | 311 S Division Ave, Sandpoint, ID 83864-2710 | 2007-01-24 |
| 1083787410 | Steven Edward Anderson | Physician Assistant | Sotf Clinic Bldg 01900, Fort Bragg, NC 28310 | 2006-11-15 |
| 1104919521 | Steven Eric Anderson | Chiropractor | 190 E Mesquite Blvd Unit E, Mesquite, NV 89027-4790 | 2006-09-30 |
| 1861599201 | Steven Andrew Anderson | Dentist | 1675 South Main Street, Laurel Medical Center, Lower Level, London, KY 40741 | 2006-09-20 |
| 1700995800 | Steven Lawrence Anderson | Optometrist | 915 East Randol Mill Rd., Arlington, TX 76011 | 2006-08-30 |
| 1699788950 | Steven Paul Anderson | Dentist | 2208 E 52nd St, Davenport, IA 52807-2726 | 2006-08-15 |
| 1285648691 | Steven P. Anderson | Specialist | 9400 W Lincoln Ave, Suite A, West Allis, WI 53227-2306 | 2006-07-28 |
| Street Address |
1717 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373876 | Jennifer R. Olbum | Ophthalmology | 1717 University Dr S, Fargo, ND 58103-4939 | 2005-06-01 |
| 1750949855 | Chelsea Marie Norman | Physician Assistant | 1717 University Dr S, Fargo, ND 58103-4939 | 2019-06-03 |
| 1245726363 | Anna Pauline Wilson | Nurse Practitioner | 1717 University Dr S, Fargo, ND 58103-4939 | 2018-07-02 |
| 1598262545 | Leann Elizabeth Czapiewski | Dietitian, Registered | 1717 University Dr S, Fargo, ND 58103-4939 | 2018-04-06 |
| 1881063006 | Meagen Anderson | Physician Assistant | 1717 University Dr S, Fargo, ND 58103-4939 | 2015-09-17 |
| 1972938843 | Amber D Strobel | Nurse Practitioner | 1717 University Dr S, Fargo, ND 58103-4939 | 2013-09-10 |
| 1750632352 | Brianna Srnsky | Dietitian, Registered | 1717 University Dr S, Fargo, ND 58103-4939 | 2012-09-24 |
| 1790060846 | Alison Rae Moses | Optometrist | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-10-19 |
| 1215211750 | Kelsey R Herrick | Dietitian, Registered | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-10-03 |
| 1891075198 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-08-18 |
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| 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 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558724492 | Vance Thompson Vision Nd Prof LLC | Ophthalmology | 4776 28th Ave S, Suite 201, Fargo, ND 58104-8523 | 2016-03-29 |
| 1447348602 | Fercho Cataract & Eye Clinic, Inc. | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2006-10-11 |
| 1487747267 | Steven M Bagan | Ophthalmology | 4344 20th Ave S, Fargo, ND 58103-4434 | 2006-10-02 |
| 1841212404 | Thomas I Strinden | Ophthalmology | 4344 20th Ave Sw, Fargo, ND 58103-7436 | 2006-07-24 |
| 1487641817 | Gary Donald Haynie | Ophthalmology | 4642 Amber Valley Pkwy S, Fargo, ND 58104-8612 | 2005-09-30 |
| 1659373876 | Jennifer R. Olbum | Ophthalmology | 1717 University Dr S, Fargo, ND 58103-4939 | 2005-06-01 |
| 1275862344 | Steven M Bagan, Md PC | Ophthalmology | 4344 20th Ave S, Fargo, ND 58103-7436 | 2009-12-18 |
| 1750519153 | Dane Arthur Breker | Ophthalmology | 700 1st Ave S, Fargo, ND 58103-1802 | 2009-06-24 |
| 1306089750 | Anne Keating | Ophthalmology | 100 4th St S Ste 612, Fargo, ND 58103-1940 | 2009-04-15 |
| 1821233073 | Steven B Thom, Md PC | Ophthalmology | 2601 University Dr S, Fargo, ND 58103-6025 | 2008-12-02 |
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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.