DR. LYLE HARRISON (NPI# 1750453361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750453361 |
| Entity Type | Individual |
| Full Name | DR. LYLE HARRISON |
| Credential | M.D. |
| Practice Address |
1301 15th Ave W Williston ND 58801-3821 |
| Mailing Address |
Po Box 21 Williston ND 58802-0021 |
| Practice Telephone | 7015720988 |
| Practice Fax Number | 7017742021 |
| Mailing Telephone | 7015720988 |
| Mailing Fax Number | 7017742021 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
7666 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10279 | 05 | |
| ND | BLUE CROSS BLUE SHIELD ND | 017365 | 01 |
| Street Address |
1301 15TH AVE W |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006519 | Advanced Diagnostic Radiology PC | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2005-07-08 |
| 1487251930 | Elizabeth Coulson | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2020-10-07 |
| 1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
| 1740822584 | Anna Elizabeth Wolf | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-14 |
| 1124678297 | Janet Williams | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-19 |
| 1396394904 | Chelsea Nichole Smith | Advanced Practice Midwife | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-06 |
| 1952959868 | Kaleb Barstad | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-04 |
| 1447819586 | Craig D White | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-06-12 |
| 1043780828 | Yesul Song | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2018-12-05 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| 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 |
|---|---|---|---|---|
| 1528130127 | Northern Plains Radiation Oncology, P.C. | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811415664 | Bismarck Christian Odei | Radiology | 4278 51st St S, Fargo, ND 58104-3315 | 2017-08-31 |
| 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 |
| 1205247913 | Sommer Rae Wild Nurkic | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2014-05-15 |
| 1629369830 | Miran Joel Blanchard | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2011-04-21 |
| 1356585293 | Tarek A Dufan | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2009-04-22 |
| 1104025113 | Joni Buechler-price | Radiology | 1702 University Dr S, Fargo, ND 58103-4940 | 2007-07-11 |
| 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 |
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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.