DR. MIRAN JOEL BLANCHARD (NPI# 1629369830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629369830 |
| Entity Type | Individual |
| Full Name | DR. MIRAN JOEL BLANCHARD |
| Credential | MD |
| Practice Address |
820 4th St N Fargo ND 58102-4539 |
| Practice Telephone | 7012346161 |
| Mailing Telephone | 7012346161 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2015-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
13647 | ND | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
54356 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
105542 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ND | Student, Health Care |
| Street Address |
820 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922025907 | Anu G Gaba | Internal Medicine | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-16 |
| 1023629631 | Pauline Aamodt | Genetic Counselor, MS | 820 4th St N, Fargo, ND 58102-4539 | 2020-08-17 |
| 1710507561 | Brittany Nicole Twiss | Dietitian, Registered | 820 4th St N, Fargo, ND 58102-4539 | 2020-04-22 |
| 1366092801 | Sanford Medical Center Fargo | Hospice Care, Community Based | 820 4th St N, Fargo, ND 58102-4539 | 2019-09-17 |
| 1154807741 | Morgan Rinke | Nurse Practitioner | 820 4th St N, Fargo, ND 58102-4539 | 2018-07-17 |
| 1497269583 | Ethan Joseph Brenna | Genetic Counselor, MS | 820 4th St N, Fargo, ND 58102-4539 | 2017-11-28 |
| 1265885867 | Carrie Pfaff | Nurse Practitioner | 820 4th St N, Fargo, ND 58102-4539 | 2016-07-19 |
| 1316315385 | Sharri M Lacher | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-09 |
| 1487022885 | John Roll | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-02 |
| 1699181495 | Kirk David Wyatt | Pediatrics | 820 4th St N, Fargo, ND 58102-4539 | 2014-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811415664 | Bismarck Christian Odei | Radiology | 4278 51st St S, Fargo, ND 58104-3315 | 2017-08-31 |
| 1205247913 | Sommer Rae Wild Nurkic | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2014-05-15 |
| 1104025113 | Joni Buechler-price | Radiology | 1702 University Dr S, Fargo, ND 58103-4940 | 2007-07-11 |
| 1992729230 | Ashley W Jensen | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2006-07-27 |
| 1811915515 | Robert M Arusell | Radiology | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-18 |
| 1275551830 | John J Keating | Radiology | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-18 |
| 1114945847 | Dennis E Bier | Radiology | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-18 |
| 1962427351 | Mark C Cooper | Radiology | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578679130 | Glen R Hyland | Radiology | 311 N Mandan St Ste 1, Bismarck, ND 58501 | 2006-08-23 |
| 1972571032 | Joann Marie Leahy | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2006-03-14 |
| 1356585293 | Tarek A Dufan | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2009-04-22 |
| 1427252014 | Grant Richard Seeger | Radiology | 960 S Columbia Rd, Grand Forks, ND 58201-4030 | 2007-06-14 |
| 1003027582 | Michael Grant | Radiology | 831 S Broadway, Suite 113, Minot, ND 58701-4636 | 2007-05-25 |
| 1235271388 | Kyle T Darras | Radiology | 7500 University Dr, Bismarck, ND 58504-9634 | 2007-02-13 |
| 1932240025 | Kathleen A Nordstrom | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2007-02-09 |
| 1538212162 | Bismarck Cancer Center | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2007-01-18 |
| 1528130127 | Northern Plains Radiation Oncology, P.C. | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
| 1750453361 | Lyle Harrison | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
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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.