PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC (NPI# 1003199829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003199829 |
| Entity Type | Organization |
| Organization Name | PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC |
| Other Organization Name | PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY |
| Practice Address |
2700 12th Ave S Suite D Fargo ND 58103-8723 |
| Practice Telephone | 7012351924 |
| Mailing Telephone | 7012351924 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | DR. LESLEY A SOINE (OWNER) |
| Authorized Official Telephone | 7012351924 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
10000 | ND | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plains Ear, Nose, Throat & Facial Plastic Surgery | Doing Business As Name - Organization |
| Street Address |
2700 12TH AVE S SUITE D |
| City | FARGO |
| State | ND |
| Zip Code | 58103-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700944915 | Lesley A Soine | Otolaryngology | 2700 12th Ave S, Ste D, Fargo, ND 58103-8723 | 2006-12-04 |
| 1811041270 | Winmar Diagnostics North Central, Inc. | Physiological Laboratory | 2700 12th Ave S, Ste B, Fargo, ND 58103-8723 | 2007-01-23 |
| 1114071040 | Winmar Diagnostics North Central, Inc. | Durable Medical Equipment & Medical Supplies | 2700 12th Ave S, Ste B, Fargo, ND 58103-8723 | 2007-01-22 |
| 1649338724 | James L. Frisk, M.d., Ltd | Otolaryngology | 2700 12th Ave S, Suite D, Fargo, ND 58103-8723 | 2006-12-04 |
| 1871651943 | James L Frisk | Otolaryngology | 2700 12th Ave S, Suite D, Fargo, ND 58103-8723 | 2006-12-04 |
| 1356409429 | Matthew T Frisk | Audiologist | 2700 12th Ave S, Suite D, Fargo, ND 58103-8723 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255680187 | Dionisio Teng Libi | Otolaryngology | 5005 Meadow Creek Dr S, Fargo, ND 58104-7118 | 2012-09-06 |
Please comment or provide details below to improve the information on PLAINS EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY PC.
| 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.