MEDALLUS & VACHAROTHONE LTD (NPI# 1710496310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710496310 |
| Entity Type | Organization |
| Organization Name | MEDALLUS & VACHAROTHONE LTD |
| Practice Address |
721 1st Ave S Unit A Jamestown ND 58401 |
| Mailing Address |
Po Box 95970 South Jordan UT 84095-0970 |
| Practice Telephone | 8776339110 |
| Mailing Telephone | 8008779236 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | RACHOT VACHAROTHONE (CEO) |
| Authorized Official Telephone | 8012601919 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902329469 | Medallus & Vacharothone Ltd | Family Medicine | 1501 Lamoille Hwy, Elko, NV 89801-4321 | 2017-07-17 |
| Street Address |
721 1ST AVE S UNIT A |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215942057 | Jody Saltern Tanner | Physician Assistant | 721 1st Ave S Unit A, Jamestown, ND 58401-4723 | 2006-07-30 |
| 1386028942 | Laurel Ann Dimler | Nurse Practitioner | 721 1st Ave S Unit A, Jamestown, ND 58401-4723 | 2015-07-14 |
| 1609912450 | Roxanne M. Johnson | Nurse Practitioner | 721 1st Ave S Unit A, Jamestown, ND 58401-4723 | 2007-01-29 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1477751360 | Jessica E. Hartman | Family Medicine | 1236 Guilford College Rd, Suite 117, Jamestown, NC 27282-9810 | 2007-07-03 |
| 1285733766 | C S Sewell M.d. P.C. | Family Medicine | 341 West Central Ave, Jamestown, TN 38556 | 2006-09-21 |
| 1326066713 | Denise R Kennedy | Family Medicine | 4790 Cottonville Rd, Jamestown, OH 45335-1518 | 2006-07-17 |
| 1215961347 | Wolf-dieter Krahn | Family Medicine | 15 S Main St Ste 150, Jamestown, NY 14701-6627 | 2006-07-11 |
| 1992751887 | David Charles Tattan | Family Medicine | 3165 24th Ave, Jamestown, MI 49427-0230 | 2006-05-25 |
| 1336190693 | Dakota Clinic, Ltd. | Family Medicine | 401 3rd St Se, Jamestown, ND 58401-4247 | 2006-05-12 |
| 1952359945 | Dilip N Joshi | Family Medicine | 117 North Duncan Street, Jamestown, TN 38556 | 2006-05-04 |
| 1588620728 | Patricia A Kline | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2006-04-25 |
| Find all providers in JAMESTOWN | ||||
Please comment or provide details below to improve the information on MEDALLUS & VACHAROTHONE LTD.
| 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.