Mitchell H Crider (NPI# 1306980875, PAC ID# 6103977640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306980875 |
| PAC ID by PECOS | 6103977640 |
| Professional Enrollment ID | I20110829000519 |
| Full Name | Mitchell H Crider |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Address |
3000 32nd Ave S Fargo ND 58103-6132 |
| Phone Number | 7013648000 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9931298155 |
| Number of Group Practice Members | 371 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350070 | ESSENTIA HEALTH |
| 241357 | ESSENTIA HEALTH FOSSTON |
| 240101 | ESSENTIA HEALTH ST MARYS - DETROIT LAKES |
| 241321 | HOLY TRINITY HOSPITAL & GRACE HOME |
| 241313 | ESSENTIA HEALTH ADA |
| Address | Phone | Organization |
|---|---|---|
| 3000 32nd Ave S, Fargo, ND 58103-6132 | 7013648000 | INNOVIS HEALTH, LLC |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Physicians | 358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyrie Marie Severson | Nurse Practitioner | Innovis Health, LLC | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 |
| Holli Marquart | Nurse Practitioner | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Michelle R Bradley | Family Medicine | Innovis Health, LLC | 4110 51st Ave S, Fargo, ND 58104-7776 |
| Taylor G Mertz | Family Medicine | Innovis Health, LLC | 801 Belsly Blvd, Moorhead, MN 56560-5055 |
| Bonita J Jenzen | Nurse Practitioner | Innovis Health, LLC | 501 Main Ave S, Hankinson, ND 58041-4108 |
| Zena K Homan | Obstetrics/gynecology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Daniel J Levin | Optometry | Innovis Health, LLC | 1100 19th Ave N, Suite Landm, Fargo, ND 58102-5906 |
| Brian K Cooper | Physician Assistant | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Joel Ross Haugen | Family Medicine | Innovis Health, LLC | 5 9th Ave N, Casselton, ND 58012-3339 |
| Hans E Bjellum | Family Medicine | Innovis Health, LLC | 720 Main Ave, Moorhead, MN 56560-2752 |
| Street Address |
3000 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip | 58103-6132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zena K Homan | Obstetrics/gynecology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Adam John Defoe | Interventional Radiology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Razvan Nicolescu | Orthopedic Surgery | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Zachary Joseph Ernst | General Surgery | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Nicholas Frederiksen | Nurse Practitioner | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| James Upton | Nurse Practitioner | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Todd L Metzger | Optometry | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Abeera Mansur | Nephrology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Amanda Erickson | Nurse Practitioner | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Kelli L Eriksson | Nurse Practitioner | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| 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 | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FARGO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mitchell H Crider.
| 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.