KAYLA JO BURCHILL (NPI# 1720217425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720217425 |
| Entity Type | Individual |
| Full Name | KAYLA JO BURCHILL |
| Credential | MD |
| Practice Address |
3000 32nd Ave S Fargo ND 58103-6132 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7013648915 |
| Mailing Telephone | 7013648000 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 13094 | ND | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | RL11274 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
3000 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506648 | Randy K Metcalf | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2005-08-29 |
| 1861006504 | Hallie M Tiffany | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-09-01 |
| 1144846452 | Andrea Patrice Solberg | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-06-23 |
| 1669098976 | Nathaniel James Piersol | Nurse Anesthetist, Certified Registered | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-06-23 |
| 1710503545 | Emily Olivia Miranda | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-06-17 |
| 1619500642 | Collin Docter | Physical Therapist | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-02-18 |
| 1386276863 | Corey David Bos | Nurse Anesthetist, Certified Registered | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-02-12 |
| 1619508587 | Stephanie Lee Piirainen | Student in an Organized Health Care Education/Training Program | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-01-30 |
| 1386274918 | Melissa Ann Knopik | Nurse Practitioner | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2020-01-23 |
| 1205475126 | Jerika A Decker | Physician Assistant | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2019-12-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
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| 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 |
|---|---|---|---|---|
| 1811131527 | Daphne Watkins Denham | Surgery | 4487 Calico Dr S Unit B, Fargo, ND 58104-9040 | 2009-04-24 |
| 1689608192 | Timothy J Mahoney | Surgery | 1707 Gold Dr S Ste 101, Fargo, ND 58103-6413 | 2006-07-10 |
| 1023040219 | Jerome I Thompson | Surgery | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-07 |
| 1972097756 | Jackson Rucker Staggers | Surgery | 5225 23rd Ave S, Fargo, ND 58104 | 2018-06-15 |
| 1013295260 | Zachary Joseph Ernst | Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-07-21 |
| 1457650632 | Megan Bowen | Surgery | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2011-03-27 |
| 1487972972 | Sugong Chen | Surgery | 1717 University Dr S, Fargo, ND 58103-4939 | 2010-05-10 |
| 1225264104 | Jeena Easow | Surgery | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2009-06-05 |
| 1851553325 | Jay Martin Macgregor | Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2008-06-26 |
| 1194987669 | Corey John Kroetsch | Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2008-06-26 |
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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.