MR. WAYNE L ANDERSON (NPI# 1053417840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053417840 |
| Entity Type | Individual |
| Full Name | MR. WAYNE L ANDERSON |
| Credential | MD |
| Practice Address |
1213 15th Ave W Suite 200 Williston ND 58801 |
| Practice Telephone | 7015724003 |
| Practice Fax Number | 7015724007 |
| Mailing Telephone | 7015724003 |
| Mailing Fax Number | 7015724007 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4768 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0040157 | 05 | |
| ND | 17987 | 05 | |
| ND | BLUE CROSS | 20537 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902834914 | Wayne Julius Anderson | Family Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2006-06-29 |
| 1619257599 | Wayne S Anderson | Behavioral Analyst | 2325 Nw 114th St, Oklahoma City, OK 73120-7316 | 2011-08-23 |
| 1124251848 | Wayne C. Anderson | Physician Assistant | 3471 Regional Pkwy, Santa Rosa, CA 95403-8209 | 2009-08-27 |
| 1396890943 | Wayne Anderson | Anesthesiology | 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 | 2007-01-24 |
| 1659481059 | Wayne Clark Anderson | Dentist | 200 Doctors Drive, Suite F, Jacksonville, NC 28546 | 2006-08-30 |
| 1316988587 | Wayne R. Anderson | Family Medicine | 10862 Calle Verde, La Mesa, CA 91941-7338 | 2006-06-09 |
| 1912958414 | Wayne C Anderson | Internal Medicine | 807 N Myrtle Ave, Clearwater, FL 33755-4254 | 2006-05-12 |
| 1679559421 | Wayne E Anderson | Psychiatry & Neurology | 45 Castro St, Suite 225, San Francisco, CA 94114-1010 | 2005-12-22 |
| 1396747515 | Wayne C Anderson | Physician Assistant | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-01 |
| Street Address |
1213 15TH AVE W SUITE 200 |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793673 | William Curtis Small | Family Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2005-10-07 |
| 1144852070 | Angela R Ekblad | Registered Nurse | 1213 15th Ave W, Williston, ND 58801-3800 | 2020-02-08 |
| 1154776268 | Ines Audrey Teuma Nguimfack | Family Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2016-04-26 |
| 1972969178 | Matthew Song | Pharmacist | 1213 15th Ave W, Williston, ND 58801-3800 | 2016-01-05 |
| 1679987366 | St. Vincent Healthcare | Neurological Surgery | 1213 15th Ave W, Williston, ND 58801-3800 | 2014-06-20 |
| 1669750469 | Cherise Norby | Nurse Practitioner | 1213 15th Ave W, Craven Hagan Clinic, Williston, ND 58801-3800 | 2011-07-27 |
| 1225323504 | Williston Basin Eyecare Associates, P.C. | Optometrist | 1213 15th Ave W, Williston, ND 58801-3800 | 2011-06-14 |
| 1053640524 | Joseph E Adducci, PC | Obstetrics & Gynecology | 1213 15th Ave W, Williston, ND 58801-3800 | 2009-12-13 |
| 1336478924 | Allison R Anderson | Optometrist | 1213 15th Ave W, Williston, ND 58801-3886 | 2009-12-10 |
| 1194948588 | Charlene R Thompson | Technician/Technologist | 1213 15th Ave W, Williston, ND 58801-3800 | 2007-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154647816 | Ashley Melissa Lemere | Surgery | 1301 15th Ave W, Williston, ND 58801-3821 | 2010-04-20 |
| 1326212804 | Mary A. Stanley, Md PC | Surgery | 71 Knight Ln, Ste 20, Williston, VT 05495-4432 | 2008-04-16 |
| 1891721841 | Brett K Vibeto | Surgery | 1213 15th Ave. W., Craven Hagan Clinic, Williston, ND 58801-3821 | 2006-06-23 |
| 1649252651 | Phillip J Ruffalo | Surgery | 1213 15th Ave W, Suite 250, Williston, ND 58801-3800 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288666 | Ryan Douglas Beard | Surgery | 1301 N Columbia Rd, Stop 9037, Und - Department of Surgery, Grand Forks, ND 58202-9037 | 2020-06-03 |
| 1992282453 | Carter James Rohling | Surgery | University of North Dakota Smhs Department of Surgery, 1301 N Columbia Road, Stop 9037, Grand Forks, ND 58202-9037 | 2018-07-26 |
| 1457838914 | Eric Matthew Curto | Surgery | University of North Dakota Smhs, Department of Surgery, 1301 N Columbia Rd Stop 9037, Rm E280, Grand Forks, ND 58202-9037 | 2018-07-26 |
| 1255851077 | Andrew Dockter | Surgery | 1301 N. Columbia Rd. Stop 9037, Grand Forks, ND 58202-9037 | 2017-06-22 |
| 1922528868 | Joclyn Anne Seiler | Surgery | 1301 N Colombia Rd Stop 9037, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2017-06-21 |
| 1538541958 | Matthew Cziep | Surgery | 1301 N Columbia Rd Rm E270, Grand Forks, ND 58202 | 2015-06-22 |
| 1437563459 | Karen Luk | Surgery | 501 N Columbia Rd Stop 5108, Und Department of Surgery, Grand Forks, ND 58202-9037 | 2014-06-18 |
| 1235542473 | Patrick Lamb | Surgery | 501 N. Columbia Rd Stop 9037, Room 5107, Grand Forks, ND 58202-9037 | 2014-06-05 |
| 1184902330 | Breann Elizabeth Neiger | Surgery | 501 N Columbia Road, Stop 9037, Univ of North Dakota Dept of Surgery, Smhs Rm 5107, Grand Forks, ND 58202-9037 | 2011-07-21 |
| 1871806117 | Christopher James Maki | Surgery | 501 N Columbia Road Stop 9037, Univ of North Dakota Dept of Surgery, Smhs Rm 5107, Grand Forks, ND 58203-9037 | 2010-07-15 |
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| 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.