HAVEN R MALISH (NPI# 1831283936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831283936 |
| Entity Type | Individual |
| Full Name | HAVEN R MALISH |
| Credential | M.D. |
| Practice Address |
222 N 7th St Bismarck ND 58501-4436 |
| Practice Telephone | 7013236000 |
| Mailing Telephone | 7013236000 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
TL5628 | WY | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
TL5628 | WY | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
15016 | ND | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 E Broadway Ave, Jackson, WY 830018642 | 3077333636 | 8883295701 |
| Street Address |
222 N 7TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488746 | Michael E Lebeau | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2005-06-23 |
| 1346847670 | Hannah Rachel Small | Physician Assistant | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-10-09 |
| 1962015578 | Joshua John Hoffman | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-08-25 |
| 1528683729 | Kathryn Mary Moch | Registered Nurse | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-06-12 |
| 1245877299 | Megan Flath | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2019-12-09 |
| 1588207823 | Kayla Marie Cummings | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2019-10-18 |
| 1003388638 | Sarah Miller | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-12-20 |
| 1255827697 | Karim Courtemanche | Urology | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-07-09 |
| 1962997106 | Katherine Michelle Carvell | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-06-29 |
| 1427551779 | Brittany Hearn | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501 | 2018-03-13 |
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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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609825132 | Pedro G Mendoza | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-05-10 |
| 1275696601 | Shaher M Samrah | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-18 |
| 1124119078 | James Hughes | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-27 |
| 1891894747 | Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-09-21 |
| 1982703849 | Monica Paulo | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-21 |
| 1497853147 | Andreas Sarrigiannidis | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851602999 | Venkat Kiran Kanchustambham | Internal Medicine | 801, Broadway N, Fargo, ND 58102 | 2010-06-23 |
| 1659462455 | Seema Khosla | Internal Medicine | 4152 30th Ave S, Suite 103b, Fargo, ND 58104-8403 | 2006-09-27 |
| 1437143427 | Adam John Glazier | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2005-09-06 |
| 1235544313 | Oscar Luis Llanos Ulloa | Internal Medicine | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2014-06-26 |
| 1871934083 | Maria Isabel Pino Argumedo | Internal Medicine | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2013-07-16 |
| 1467755165 | Praveen Jinnur | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2010-12-19 |
| 1558677310 | Zulfiqar Ali | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2010-08-30 |
| 1710047600 | Umamaheswara R Mudireddy | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-12-11 |
| 1942307723 | Wayne R Breitwieser | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-09-20 |
| 1710911185 | Michael S Briggs | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-10 |
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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.