Mevan N Wijetunga (NPI# 1457308645, PAC ID# 3072521640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1457308645 |
| PAC ID by PECOS | 3072521640 |
| Professional Enrollment ID | I20090910000319 |
| Full Name | Mevan N Wijetunga |
| Organization Legal Name | ALTRU HEALTH SYSTEM |
| Address |
1300 S Columbia Rd Grand Forks ND 58201-4012 |
| Phone Number | 7017805000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| 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 |
| 241381 | SANFORD THIEF RIVER FALLS MEDICAL CENTER |
| 351333 | CHI ST ALEXIUS HEALTH DEVILS LAKE |
| 241320 | RIVERVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 7th St Ne, Devils Lake, ND 58301-2719 | 7016622157 | ALTRU HEALTH SYSTEM |
| 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 7017805000 | ALTRU HEALTH SYSTEM |
| 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 7017805000 | ALTRU HEALTH SYSTEM |
| 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 7017952000 | 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 |
1300 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip | 58201-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony K Muiderman | Plastic and Reconstructive Surgery | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Iqbal Masood | Nephrology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Bernie J Dallum | Diagnostic Radiology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Matthew J Roller | Neurology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Andrea R Lays | Obstetrics/gynecology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Adam F Nicholson | Urology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Bradley P Belluk | General Surgery | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Tana Setness Hoefs | Obstetrics/gynecology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Andrea M Eickenbrock | Obstetrics/gynecology | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| Barry A Bjorgaard | Cardiac Surgery | Altru Health System | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 |
| 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 | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | GRAND FORKS + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Mevan N Wijetunga.
| 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.