KYM L CHANDLER (NPI# 1720087000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720087000 |
| Entity Type | Individual |
| Full Name | KYM L CHANDLER |
| Credential | MD |
| Practice Address |
900 E Broadway Ave Bismarck ND 58501-4520 |
| Mailing Address |
Po Box 997 Bismarck ND 58502-0997 |
| Practice Telephone | 7015306500 |
| Mailing Telephone | 7015307000 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 9815 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1465696 | 05 | |
| ND | MEDICARE | N722277 | 01 |
| Street Address |
900 E BROADWAY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769633 | Brenton Michael Green | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-10-28 |
| 1679186852 | Carly Marie Meyer | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-08-26 |
| 1164030169 | Heather Brooke Flaa | Physician Assistant | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-16 |
| 1699393454 | Alexis Schulz | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-07-08 |
| 1457971012 | Byul You | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-23 |
| 1962021618 | Amanda Mcglasson | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-04-13 |
| 1336772839 | Deanne Hice | Nurse Anesthetist, Certified Registered | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2020-02-13 |
| 1538707898 | Jenna Etzold | Psychologist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-12-18 |
| 1548811169 | Sarah Skeie | Nurse Practitioner | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-09-25 |
| 1578114294 | Matthew Ryan Mcglasson | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2019-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326064718 | Charles S Rothberg | Neurological Surgery | 2016 N Grandview Ln, Bismarck, ND 58503-0845 | 2006-07-15 |
| 1801972161 | Eric Belanger | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-10-30 |
| 1285732958 | Alan S Vannorman | Neurological Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-09-20 |
| 1043227630 | Steven G Kraljic | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457551228 | Steven Jared Broadway | Neurological Surgery | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2007-07-20 |
| 1528174554 | Roger Franklin Kennedy | Neurological Surgery | 846 45th Ave Nw, Lot 10, Hazen, ND 58545-9362 | 2006-08-22 |
| 1700872157 | Harry C Weiser | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2005-09-21 |
| 1528064144 | Charles Owen Wood | Neurological Surgery | 20 Burdick Expy. W., Minot, ND 58701-4493 | 2005-06-28 |
| 1205480704 | Michael Opoku-darko | Neurological Surgery | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2019-08-01 |
| 1205377793 | Behzad Sabit | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103 | 2017-03-16 |
| 1467907097 | Synapses LLC | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2016-08-24 |
| 1790150332 | Evgueni E Kouznetsov | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2015-12-08 |
| 1679987366 | St. Vincent Healthcare | Neurological Surgery | 1213 15th Ave W, Williston, ND 58801-3800 | 2014-06-20 |
| 1568805927 | Alexander Drofa | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2013-04-16 |
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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.