FARGO PLASTIC SURGERY PC (NPI# 1710238233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710238233 |
| Entity Type | Organization |
| Organization Name | FARGO PLASTIC SURGERY PC |
| Practice Address |
3280 20th St S Fargo ND 58104-5917 |
| Practice Telephone | 7012937408 |
| Practice Fax Number | 7012352099 |
| Mailing Telephone | 7012937408 |
| Mailing Fax Number | 7012352099 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | JOHN A. G. SAMPSON (OWNER) |
| Authorized Official Telephone | 7012937408 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ND | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659620110 | Fargo Plastic Surgery PC | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2012-08-30 |
| Street Address |
3280 20TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353690 | Ahmed Abdullah | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2005-06-01 |
| 1659620110 | Fargo Plastic Surgery PC | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2012-08-30 |
| 1184905309 | Abdullah Surgical Center LLC | Clinic/Center | 3280 20th St S, Fargo, ND 58104-5917 | 2011-09-01 |
| 1033386859 | Heartland Diagnostic Services LLC | Radiologic Technologist | 3280 20th St S, Fargo, ND 58104-5917 | 2008-05-12 |
| 1679605513 | Anesthesia Resources | Nurse Anesthetist, Certified Registered | 3280 20th St S, Fargo, ND 58104-5917 | 2007-03-09 |
| 1841357399 | Charles I Benjamin Md PC | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2007-01-03 |
| 1033276415 | David M Beard Md PC | Orthopaedic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2007-01-03 |
| 1376613521 | Jon Norberg Md PC | Orthopaedic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2006-11-08 |
| 1477638864 | Plastic Surgery Institute, PC | Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2006-10-26 |
| 1821172404 | Debra Andvik | Physician Assistant | 3280 20th St S, Fargo, ND 58104-5917 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1225544067 | West2north Medical Solutions | Clinic/Center | 4207 Boulder Ridge Rd, Bismarck, ND 58503-6163 | 2017-12-15 |
| 1972563815 | North Dakota Eye Clinic, Ltd | Clinic/Center | 1820 S 42nd St., Grand Forks, ND 58201-5820 | 2006-03-24 |
| 1699159640 | Dakota Natural Health Center | Clinic/Center | 705 E Main Ave, Bismarck, ND 58501-4525 | 2015-07-18 |
| 1205036027 | The University of North Dakota | Clinic/Center | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2007-07-19 |
| 1578669354 | Advanced Surgical Arts Center, PC | Clinic/Center | 810 E Rosser Ave, Suite 303, Bismarck, ND 58501-4463 | 2006-09-16 |
| 1124032487 | Regional Neurological Center PC | Clinic/Center | 1033 Basin Ave, Suite A, Bismarck, ND 58504-6649 | 2006-07-29 |
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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.