PAUL R BILSTAD


Address: 801 Broadway N, Fargo, ND 58102-3641
Phone: 7012345121

PAUL R BILSTAD (NPI# 1033136031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033136031
Entity Type Individual
Full Name PAUL R BILSTAD
Credential MD
Practice Address 801 Broadway N
Fargo
ND 58102-3641
Mailing Address Po Box 2010
Fargo
ND 58122-0605
Practice Telephone 7012345121
Practice Fax Number 7012345124
Enumeration Date 2006-07-16
Last Update Date 2012-01-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PT0002X Emergency Medicine
Specialization: Medical Toxicology
8851 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND 11636 05

Office Location

Street Address 801 BROADWAY N
City FARGO
State ND
Zip Code 58102-3641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528062924 Mark F Fisher Radiology 801 Broadway N, Fargo, ND 58102-3641 2005-06-13
1942809652 Morgan Margaret Borud Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2020-10-22
1790392462 Katie Thielges Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2020-09-28
1063022432 Lindsey Schmidt Genetic Counselor, MS 801 Broadway N, Fargo, ND 58102-3641 2020-07-31
1336766161 Yesha Shukla Family Medicine 801 Broadway N, Fargo, ND 58102-3641 2020-06-27
1891310850 Samantha Mimi Chang Family Medicine 801 Broadway N, Fargo, ND 58102-3641 2020-06-15
1528683224 Briana Lee Gebert-oberle Student in an Organized Health Care Education/Training Program 801 Broadway N, Fargo, ND 58102-3641 2020-06-09
1689296931 Jillian Virginia Schommer Student in an Organized Health Care Education/Training Program 801 Broadway N, Fargo, ND 58102-3641 2020-05-09
1194344036 Sarah Rose Carpenter Genetic Counselor, MS 801 Broadway N, Fargo, ND 58102-3641 2020-04-10
1346871258 Randall Hagemeister Nurse Anesthetist, Certified Registered 801 Broadway N, Fargo, ND 58102-3641 2020-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
Find all providers in zip 58102

Taxonomy Information

Taxonomy Code 207PT0002X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Medical Toxicology

Taxonomy Definition

Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740202381 Troy C Schaff Emergency Medicine 801 Broadway N, Fargo, ND 58102-3641 2006-07-24
1649298290 David M Griffin Emergency Medicine 801 Broadway N, Fargo, ND 58102-3641 2006-07-18
1255359808 Gregory Michael Haugen Emergency Medicine 737 Broadway, Fargo, ND 58122-0001 2006-07-18
1023036753 Gregory J Bjerke Emergency Medicine 801 Broadway N, Fargo, ND 58102-3641 2006-07-18
1053339697 David C Drage Emergency Medicine 801 Broadway N, Fargo, ND 58102-3641 2006-07-18
1164449633 James Scott Parks Emergency Medicine 801 Broadway N, Fargo, ND 58102-3641 2006-07-17
1013934975 Douglas J Hushka Emergency Medicine 801 Broadway N, Fargo, ND 58102-3641 2006-07-16

Competitor

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City FARGO
Zip Code 58102

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Dataset Information

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.

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