KIM BELZBERG (NPI# 1093167306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093167306 |
| Entity Type | Individual |
| Full Name | KIM BELZBERG |
| Credential | M.D. |
| Practice Address |
Sanford Health 801 Broadway North Fargo ND 58122 |
| Mailing Address |
Sanford Health 801 Broadway North Fargo ND 58122-0170 |
| Practice Telephone | 7012345933 |
| Practice Fax Number | 7012347230 |
| Mailing Telephone | 7012345933 |
| Mailing Fax Number | 7012347230 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | RL14174 | ND | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RL 14174 | ND | Student, Health Care |
| Street Address |
SANFORD HEALTH 801 BROADWAY NORTH |
| City | FARGO |
| State | ND |
| Zip Code | 58122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659782258 | Sarah Fanai | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2014-05-16 |
| 1235781154 | Umama Zareen | Internal Medicine | Sanford Health, 5225, 23rd Ave S, Fargo, ND 58104 | 2019-07-11 |
| 1134614019 | Tysen Timmer | Student in an Organized Health Care Education/Training Program | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-24 |
| 1437671005 | Uns Kadhim Alwahab | Family Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2017-07-14 |
| 1710430301 | John Fox IIi | Student in an Organized Health Care Education/Training Program | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2016-07-29 |
| 1215480959 | Kevin David Robert Moran | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2016-07-29 |
| 1003269234 | Keri Lynn Crewson | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122 | 2016-07-22 |
| 1316326150 | Jared Velgersdyk | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2015-05-27 |
| 1831578665 | Andrew Masato Aoshima | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2015-05-26 |
| 1871904292 | Kelly Marie Kerber | Student in an Organized Health Care Education/Training Program | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2014-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1457615155 | Chantee Seung Gruenhagen | Nurse Practitioner | 737 North Broadway, Sanford Urology Clinic, Fargo, ND 58122 | 2012-06-27 |
| 1457594079 | Manisha Balhara | Specialist | 2400 32nd Avenue S, Fargo, ND 58122 | 2009-04-13 |
| 1578536728 | Shelby A Terstriep | Internal Medicine | 820 4 Street North, Fargo, NC 58122 | 2006-02-08 |
| 1295229946 | Christopher Hinh | Student in an Organized Health Care Education/Training Program | 801 Broadway North, Fargo, ND 58122 | 2018-06-17 |
| 1558854539 | Suchita Kotnala | Family Medicine | 737 Broadway North, Fargo, ND 58122 | 2018-06-13 |
| Find all providers in zip 58122 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1700238714 | Youstina Michael | Internal Medicine | 408 Roberts St N Apt 208, Fargo, ND 58102-4599 | 2016-07-01 |
| 1164834289 | Joshua Jost | Internal Medicine | Broadway N, 801, Fargo, ND 58122-0170 | 2014-05-22 |
| 1659782258 | Sarah Fanai | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2014-05-16 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1316383383 | Janya Swami | Internal Medicine | Sanford Health System 801 Broadway N, Fargo, ND 58122-0170 | 2013-05-17 |
| 1922361716 | Sanford Clinic North | Internal Medicine | 2960 Seter Pkwy, Fargo, ND 58104-8692 | 2012-06-18 |
| 1912273418 | Eric Priyakumar Ragland | Internal Medicine | Essentia Health, 3000 32nd Ave S, Fargo, ND 58104 | 2012-03-29 |
| 1811153802 | Suzanne L Vargot | Internal Medicine | 2102 Elm Str North, Dept of Veterans Affairs Medical Center, Fargo, ND 58102-2498 | 2008-07-30 |
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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.