Jason B Smith (NPI# 1215480009, PAC ID# 0547288433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215480009 |
| PAC ID by PECOS | 0547288433 |
| Professional Enrollment ID | I20160912000441 |
| Full Name | Jason B Smith |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Address |
2400 32nd Ave S Fargo ND 58103-5800 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284546151 |
| Number of Group Practice Members | 369 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 2400 32nd Ave S, Fargo, ND 58103-5800 | SANFORD CLINIC NORTH | |
| 2400 32nd Ave S, Fargo, ND 58103-5800 | SANFORD MEDICAL CENTER FARGO | |
| 5225 23rd Ave S, Fargo, ND 58104-7927 | 7014172575 | SANFORD MEDICAL CENTER FARGO |
| 801 Broadway N, Fargo, ND 58102-3641 | SANFORD MEDICAL CENTER FARGO |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadie M Nelson | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Jenna M Long | Nurse Practitioner | Sanford Clinic North | 100 St Ave Sw, Suite 2, Lamoure, ND 58458-7419 |
| Tamera A Ostenaa | Nurse Practitioner | Sanford Clinic North | 410 4th St Nw, Mahnomen, MN 56557-4208 |
| Daniel M Hoffman | Dermatology | Sanford Clinic North | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Morgan R Rinke | Nurse Practitioner | Sanford Clinic North | 820 4th St N, Fargo, ND 58102-4539 |
| Mridu Gandhi | Family Medicine | Sanford Clinic North | 929 Central Ave Nw, East Grand Forks, MN 56721-1917 |
| Ashish V Regulagadda | Nephrology | Sanford Clinic North | 736 Broadway N, Fargo, ND 58122-4421 |
| Mackenze J Cimbura | Physical Therapy | Sanford Clinic North | 904 5th Ave Ne, Jamestown, ND 58401-3437 |
| Carrie L Holt | Nurse Practitioner | Sanford Clinic North | 108 Viking Ave W, Ulen, MN 56585-0024 |
| Tara R Mertz-hack | Family Medicine | Sanford Clinic North | 420 S 7th St, Oakes, ND 58474-2024 |
| Street Address |
2400 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip | 58103-5800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason C Myrmoe | Family Medicine | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Eric C Pearson | Family Medicine | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Dana L Stegmiller | Physician Assistant | Sanford Medical Center Fargo | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Laurie A Somerville | Physician Assistant | Sanford Medical Center Fargo | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Darshan S Khangura | Endocrinology | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Randall A Kenninger | Family Medicine | Sanford Medical Center Fargo | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Gerald G Gross | Hematology/oncology | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| James B Buhr | Family Medicine | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Susan L Scarberry | Neurology | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Andrea M Beiseker | Nurse Practitioner | Sanford Clinic North | 2400 32nd Ave S, Fargo, ND 58103-5800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary E Johnson | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Mark G Tufte | Optometry | Mark Tufte Od PC | 1801 45th St S, Suite G, Fargo, ND 58103-0801 |
| Anthony Heath Charbonneau | Physical Therapy | Total Balance Physical Therapy and Fitness LLC | 4041 Main Ave, Fargo, ND 58103-1145 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Marcus F Keep | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Behzad S Sabit | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Abdul A Baker | Neurosurgery | Sanford Clinic North | 700 1st Ave S, Fargo, ND 58103-1802 |
| Michael David Manchak | Neurology | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tahereh Keshavarz | Physician Assistant | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Tong Yang | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Find all physicians in zip 58103 | |||
| City | FARGO |
| Zip Code | 58103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARGO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jason B Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.