Agatha J Ottem Lill (NPI# 1093236267, PAC ID# 1759651839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093236267 |
| PAC ID by PECOS | 1759651839 |
| Professional Enrollment ID | I20170721002605 |
| Full Name | Agatha J Ottem Lill |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Address |
1380 S Columbia Rd Grand Forks ND 58201-4059 |
| Phone Number | 7017952000 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355251604 |
| Number of Group Practice Members | 481 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350019 | ALTRU HOSPITAL |
| 241344 | LIFECARE MEDICAL CENTER |
| 351319 | PEMBINA COUNTY MEMORIAL HOSPITAL |
| 351333 | CHI ST ALEXIUS HEALTH DEVILS LAKE |
| Address | Phone | Organization |
|---|---|---|
| 301 Mountain St E, Suite A, Cavalier, ND 58220-4015 | 7012658338 | ALTRU HEALTH SYSTEM |
| 400 S Minnesota St, Crookston, MN 56716-1808 | 2182819100 | ALTRU HEALTH SYSTEM |
| 1001 7th St Ne, Devils Lake, ND 58301-2719 | 7016622157 | ALTRU HEALTH SYSTEM |
| 1003 N Main St, Drayton, ND 58225-4624 | 7014543311 | ALTRU HEALTH SYSTEM |
| 101 S Mill St, Fertile, MN 56540-4300 | 2189456064 | ALTRU HEALTH SYSTEM |
| 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 7017952000 | ALTRU HEALTH SYSTEM |
| 4440 S Washington St, Grand Forks, ND 58201-7245 | 7017805000 | ALTRU HEALTH SYSTEM |
| 312 International Dr, Red Lake Falls, MN 56750-4603 | 2182534343 | ALTRU HEALTH SYSTEM |
| 711 Delmore Dr, Roseau, MN 56751-1534 | 2184631365 | ALTRU HEALTH SYSTEM |
| 715 Delmore Dr, Roseau, MN 56751-1534 | 2184632500 | ALTRU HEALTH SYSTEM |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Physicians | 472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chukwuka O Nnoli | Physician Assistant | Altru Health System | 607 Demers Ave, East Grand Forks, MN 56721-1833 |
| Amanjit S Baadh | Diagnostic Radiology | Altru Health System | 166 4th St E, St Paul, MN 55101-1421 |
| Jessica K Hartman | Clinical Social Worker | Altru Health System | 860 S Columbia Rd, Grand Forks, ND 58201-4028 |
| Bethany A Knox | Physician Assistant | Altru Health System | 1845 Hwy 59 S, Suite 800, Thief River Falls, MN 56701-4318 |
| Rachel M Pearce | Nurse Practitioner | Altru Health System | 412 Main Ave Ne, Warroad, MN 56763-2342 |
| Erica Lynn Wiegandt | Optometry | Altru Health System | 4440 S Washington St, Grand Forks, ND 58201-7245 |
| Laura A Carlson | Nurse Practitioner | Altru Health System | 3165 Demers Ave, Grand Forks, ND 58201-4049 |
| Emuejevoke Okoh | Gastroenterology | Altru Health System | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 |
| Paul Fleissner | Family Practice | Altru Health System | 1001 7th Nest, Devils Lake, ND 58301-2719 |
| Joseph V Lazzara | Pediatric Medicine | Altru Health System | 715 Delmore Dr, Roseau, MN 56751-1534 |
| Street Address |
1380 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip | 58201-4059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott B Carter | Certified Registered Nurse Anesthetist (crna) | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Eric L Bakke | Family Medicine | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Stella Onyeakazi | Nurse Practitioner | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Somasundar Bharath | Internal Medicine | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Olivia V Carcoana | Anesthesiology | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Eric L Johnson | Family Medicine | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Jennifer Lynn Gowan | Qualified Audiologist | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Keith W Millette | Family Medicine | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Christopher J Howson | Chiropractic | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Marie K Anderson | Nurse Practitioner | Altru Health System | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina L Aikens | Optometry | North Dakota Eye Clinic Ltd | 1820 42nd St S, Grand Forks, ND 58201 |
| Rachel Sauter | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Jill M Mcmullen | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Terry S Dobmeier | Certified Clinical Nurse Specialist (cns) | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Aminata Kamara | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Constance F Soper | Physician Assistant | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Randy Swingen | Nurse Practitioner | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Emmet M Kenney Jr. | Psychiatry | St. Sophie's LLC | 1451 44th Ave S, Grand Forks, ND 58201-3415 |
| Mark G Peterson | Family Medicine | Northland Family Physicians LLC | 1451 44th Ave S, Suite A, Grand Forks, ND 58201-3434 |
| Kelly Pratt | Nurse Practitioner | Kidney and Hypertension Plc | 1451 44th Ave S, Suite 112d, Grand Forks, ND 58201-3434 |
| Find all physicians in zip 58201 | |||
| City | GRAND FORKS |
| Zip Code | 58201 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAND FORKS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Agatha J Ottem Lill.
| 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.