MAGARYA STEPHEN WAITARA (NPI# 1548688203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548688203 |
| Entity Type | Individual |
| Full Name | MAGARYA STEPHEN WAITARA |
| Credential | M.D. |
| Practice Address |
2615 Fairway St Dickinson ND 58601-2590 |
| Mailing Address |
395 W 12th Ave Suite 670 Columbus OH 43210-1267 |
| Practice Telephone | 7014566000 |
| Mailing Telephone | 6142938703 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 15490 | ND | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 395 W 12th Ave, Suite 670, Columbus, OH 432101267 | 6142938703 |
| Street Address |
2615 FAIRWAY ST |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240557 | Clark J Fullmer II | Podiatrist | 2615 Fairway St, Dickinson, ND 58601 | 2006-01-24 |
| 1295369882 | Nicolette Lyn Tippett | Registered Nurse | 2615 Fairway St, Dickinson, ND 58601-2590 | 2020-02-24 |
| 1295365484 | Daniel Kuske | Physician Assistant | 2615 Fairway St, Dickinson, ND 58601-2590 | 2020-01-16 |
| 1194362111 | Joann Marie Nupen Lindemann | Nurse Practitioner | 2615 Fairway St, Dickinson, ND 58601-2590 | 2019-12-10 |
| 1699256537 | Michael Miller | Physical Therapist | 2615 Fairway St, Dickinson, ND 58601-2590 | 2018-08-28 |
| 1932607439 | Jessica Schneider | Pharmacist | 2615 Fairway St, Dickinson, ND 58601 | 2018-01-30 |
| 1699296277 | Anna Jade Newby | Nurse Practitioner | 2615 Fairway St, Dickinson, ND 58601-2590 | 2017-07-04 |
| 1497275572 | Kristine Nicole Gayda | Nurse Practitioner | 2615 Fairway St, Dickinson, ND 58601 | 2017-06-21 |
| 1255871752 | Allison Browning | Student in an Organized Health Care Education/Training Program | 2615 Fairway St, Dickinson, ND 58601-2590 | 2017-03-02 |
| 1548702632 | Colin Hulm | Specialist/Technologist | 2615 Fairway St, Dickinson, ND 58601-2590 | 2016-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114130838 | Texas City Surgical Pa | Surgery | 200 Hughes Rd, Dickinson, TX 77539-7332 | 2007-05-08 |
| 1871580407 | James M Brooke | Surgery | 33 9th St W, Dickinson, ND 58601-3950 | 2005-09-29 |
| 1174962559 | Richard E Thompson | Surgery | 2500 Fairway St, Dickinson, ND 58601-2639 | 2013-06-19 |
| 1073745279 | St. Joseph's Hospital and Health Center | Surgery | 45 8th St W, Dickinson, ND 58601-3951 | 2009-08-20 |
| 1518164334 | Nicolas James Hayes | Surgery | 2615 Fairway St, Dickinson, ND 58601-2590 | 2007-06-27 |
| 1629085014 | Ralph Kilzer | Surgery | 30 7th St W, Dickinson, ND 58601-4335 | 2006-08-01 |
| 1093711871 | Robert Steven Riddick | Surgery | 30 7th St W, Dickinson, ND 58601-4335 | 2005-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288666 | Ryan Douglas Beard | Surgery | 1301 N Columbia Rd, Stop 9037, Und - Department of Surgery, Grand Forks, ND 58202-9037 | 2020-06-03 |
| 1992282453 | Carter James Rohling | Surgery | University of North Dakota Smhs Department of Surgery, 1301 N Columbia Road, Stop 9037, Grand Forks, ND 58202-9037 | 2018-07-26 |
| 1457838914 | Eric Matthew Curto | Surgery | University of North Dakota Smhs, Department of Surgery, 1301 N Columbia Rd Stop 9037, Rm E280, Grand Forks, ND 58202-9037 | 2018-07-26 |
| 1255851077 | Andrew Dockter | Surgery | 1301 N. Columbia Rd. Stop 9037, Grand Forks, ND 58202-9037 | 2017-06-22 |
| 1922528868 | Joclyn Anne Seiler | Surgery | 1301 N Colombia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2017-06-21 |
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1437563459 | Karen Luk | Surgery | 501 N Columbia Rd Stop 5108, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2014-06-18 |
| 1235542473 | Patrick Lamb | Surgery | 501 N. Columbia Rd Stop 9037, Room 5107, Grand Forks, ND 58202-9037 | 2014-06-05 |
| 1184902330 | Breann Elizabeth Neiger | Surgery | 501 N Columbia Road, Stop 9037, Univ of North Dakota Dept of Surgery, Smhs Rm 5107, Grand Forks, ND 58202-9037 | 2011-07-21 |
| 1871806117 | Christopher James Maki | Surgery | 501 N Columbia Road Stop 9037, Univ of North Dakota Dept of Surgery, Smhs Rm 5107, Grand Forks, ND 58203-9037 | 2010-07-15 |
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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.