SAMANTHA J PERLEBERG (NPI# 1083992002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083992002 |
| Entity Type | Individual |
| Full Name | SAMANTHA J PERLEBERG |
| Other Name | SAMANTHA J SCHULZ |
| Credential | M.D. |
| Practice Address |
4000 28th Ave S Moorhead MN 56560 |
| Practice Telephone | 7012343200 |
| Mailing Telephone | 7012343200 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 13196 | ND | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 58162 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4000 28TH AVE S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124122783 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 4000 28th Ave S, Moorhead, MN 56560 | 2006-09-12 |
| 1447772470 | Dustin Joel Czapiewski | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2017-07-12 |
| 1568996700 | Alyson Dahl | Physician Assistant | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2017-04-14 |
| 1568836781 | Courtney Jo Burgad | Social Worker | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2015-11-27 |
| 1114314093 | Amy Joy Bro | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2015-04-19 |
| 1073910253 | Laura Fugleberg | Physician Assistant | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2014-12-03 |
| 1205240900 | Amanda Oney | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560 | 2014-06-20 |
| 1760801187 | Natalie Frances Dvorak | Pediatrics | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2014-04-14 |
| 1093134462 | Kyra Decker | Nurse Practitioner | 4000 28th Ave S, Moorhead, MN 56560 | 2014-04-14 |
| 1619288602 | Donald R. Gullicks | Obstetrics & Gynecology | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2010-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760801187 | Natalie Frances Dvorak | Pediatrics | 4000 28th Ave S, Moorhead, MN 56560-7926 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1487009817 | Kalli Amber Hess | Pediatrics | 111 Hundertmark Rd #420, Chaska, MN 55318-1459 | 2016-05-04 |
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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.