SHANE D NYGARD (NPI# 1053403485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053403485 |
| Entity Type | Individual |
| Full Name | SHANE D NYGARD |
| Credential | MD |
| Practice Address |
110 7th St W Park Rapids MN 56470-1872 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 2186993121 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5382 | ND | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1380 S Columbia Rd, Grand Forks, ND 582014059 | 7017952000 |
| Street Address |
110 7TH ST W |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1174091904 | Amanda Marie Slaikeu | Physical Therapist | 705 Pleasant Avenue South, Park Rapids, MN 56470 | 2018-11-09 |
| 1184965261 | Hubbard County Sheriff's Office | Secured Medical Transport (VAN) | 203 Court Ave, Park Rapids, MN 56470 | 2013-03-14 |
| 1134481666 | Michelle Lynn Rice | Physical Therapy Assistant | 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1629330279 | Lois G. Mcclatchie | Physical Therapist | 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1891966479 | Jay C Jorgenson Dds Pa | Dentist | 406 Pleasant Ave, Park Rapids, MN 56470 | 2008-03-21 |
| 1629250063 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 | 2007-11-28 |
| Find all providers in zip 56470 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891144085 | Susan Bauer | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2016-06-08 |
| 1508206749 | Sriveer Kaasam | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2013-07-02 |
| 1316387467 | Kavya Koppula | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2013-07-02 |
| 1699955344 | St Mary's Regional Health Center | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2007-11-10 |
| 1043309065 | Michele Thieman | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-10-11 |
| 1659393239 | Michael G Webster | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-07-24 |
| 1518987122 | Jane M Churchill | Family Medicine | 600 Pleasant Ave S, Park Rapids, MN 56470-1431 | 2006-07-20 |
| 1528086170 | Lisa A Harmon | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-07-18 |
| 1720029390 | Gregory J Sperle | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-06-08 |
| 1902845456 | David C Benson | Family Medicine | 705 Pleasant Ave S, Park Rapids, MN 56470-1440 | 2006-06-06 |
| Find all providers in PARK RAPIDS | ||||
| City | PARK RAPIDS |
| Zip Code | 56470 |
Please comment or provide details below to improve the information on SHANE D NYGARD.
| 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.