TODD DUPPONG (NPI# 1083078281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083078281 |
| Entity Type | Individual |
| Full Name | TODD DUPPONG |
| Practice Address |
5225 23rd Ave S Fargo ND 58104-7927 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
| Practice Telephone | 7014172100 |
| Mailing Telephone | 7014172100 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 65724 | MN | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 15616 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
5225 23RD AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-7927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730141466 | Edgardo Abad Crisostomo | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104 | 2006-04-06 |
| 1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
| 1598365819 | Hannah Muehlberg | Occupational Therapist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-27 |
| 1174120281 | Sanford Medical Center Fargo | Pharmacy | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-10-02 |
| 1932714169 | Ashraf Al-tarifi | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-09-14 |
| 1821609116 | Heidi Nelson | Occupational Therapist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-11 |
| 1689284671 | Lindsay Raye Busse | Nurse Practitioner | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-08-04 |
| 1356950752 | Jordan Mallery | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-31 |
| 1093324014 | Dalton James Peaslee | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-27 |
| 1285243543 | Mathew Gerving | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720408131 | Stephane Robert Leo Blanchard | Emergency Medicine | 1720 University Dr S # 825, Fargo, ND 58103 | 2014-04-24 |
| 1992745970 | Barbara Meyer O'neal | Emergency Medicine | 900 42nd St S, Fargo, ND 58103-2119 | 2006-06-07 |
| 1871540435 | Brian Jefferson Dawson | Emergency Medicine | 3345 39th St S Ste 2, Fargo, ND 58104 | 2006-05-28 |
| 1346780228 | Colin James Johnson | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2017-02-27 |
| 1457791352 | Elizabeth Roeber | Emergency Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2013-06-25 |
| 1396011045 | Joshua Alan Honeyman | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2012-03-27 |
| 1699062240 | Matthew Gerde | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-07-05 |
| 1992094387 | Aaron Stinton | Emergency Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-04-06 |
| 1699094748 | Jeremy Forrest Brudevold | Emergency Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2010-05-27 |
| 1821226887 | Kenneth Daniel Grosz | Emergency Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2009-06-29 |
| Find all providers in FARGO | ||||
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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.