ROSE STAHLECKER (NPI# 1144219429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144219429 |
| Entity Type | Individual |
| Full Name | ROSE STAHLECKER |
| Credential | PAC |
| Practice Address |
420 South 7th Street Oakes ND 58474-2024 |
| Mailing Address |
Po Box 50 Oakes ND 58474-0050 |
| Practice Telephone | 7017423267 |
| Practice Fax Number | 7017423201 |
| Mailing Telephone | 7017423267 |
| Mailing Fax Number | 7017423201 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2008-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PAC0100 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE SHIELD | 18133 | 01 |
| ND | BLUE SHIELD | 19187 | 01 |
| ND | BLUE SHIELD | 28585 | 01 |
| ND | BLUE SHIELD | 18134 | 01 |
| ND | BLUE SHIELD | 25977 | 01 |
| ND | BLUE SHIELD | 28586 | 01 |
| ND | BLUE SHIELD | 19188 | 01 |
| TRAVELERS MEDICARE | 970009835 | 01 |
| Street Address |
420 SOUTH 7TH STREET |
| City | OAKES |
| State | ND |
| Zip Code | 58474-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502357 | Brenda Reich | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1144235904 | Ryan Lagodinski | Physical Therapist | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-07-30 |
| 1275563363 | Richard R Lauderdale | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-07-04 |
| 1366416737 | Sanford Clinic North | Internal Medicine | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
| 1396719795 | Regional Clinic Ltd | Clinic/Center | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
| 1285608679 | Southeast Therapy Services Inc | Clinic/Center | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
| 1811986102 | Nancy Gulsvig | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1225027519 | Loretta Pfeifer | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1205825593 | Karen Kaiser | Nurse Practitioner | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1831188127 | Vicki Hack | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013435593 | Deanne Visto | Pharmacist | Oakes Drug 422 Main Avenue, Oakes, ND 58474 | 2017-09-05 |
| 1356414528 | Barbara Erlandson Lrd Pllc | Dietitian, Registered | 7890 Hwy 1, Oakes, ND 58474 | 2006-11-16 |
| 1811071541 | Nicole R Cline | Chiropractor | 9 N 5th St, Oakes, ND 58474-1208 | 2006-10-25 |
| 1568076909 | Tru Aesthetic and Wellness, Pllc | Nurse Practitioner | 9 N 5th St, Oakes, ND 58474-1208 | 2020-09-02 |
| 1700334927 | Back To Health PC | Chiropractor | 9 N 5th St, Oakes, ND 58474-1208 | 2016-09-16 |
| 1861599730 | Brian Lawrence Dethlefsen | Chiropractor | 14 N 5th St, Oakes, ND 58474-1209 | 2006-09-20 |
| 1376897033 | Dethlefsen Chiropractic | Chiropractor | 14 N 5th St, Oakes, ND 58474-1209 | 2012-11-02 |
| 1831161777 | Mark Michael Malmberg | Dentist | 19 N 6th St, Oakes, ND 58474-1214 | 2006-02-05 |
| 1205093416 | Dr Geoffrey Rath Optometrist PC | Optometrist | 409 Main Ave, Oakes, ND 58474-1240 | 2008-05-16 |
| 1821136524 | Geoffrey A Rath | Optometrist | 409 Main Ave, Oakes, ND 58474-1240 | 2007-02-02 |
| Find all providers in zip 58474 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316936693 | Jeanne Hoistad | Physician Assistant | 420 South7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1073502357 | Brenda Reich | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1992925499 | Kathleen Lee Siedschlag | Physician Assistant | 420 S 7th St, Oakes, ND 58474-2024 | 2007-04-26 |
| 1275563363 | Richard R Lauderdale | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-07-04 |
| 1811986102 | Nancy Gulsvig | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1225027519 | Loretta Pfeifer | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355608 | Jenny L Brown | Physician Assistant | 3750 19th St Sw, Center, ND 58530-9700 | 2019-06-14 |
| 1407335383 | Chelsey Galipeau | Physician Assistant | 516 1st Ave Sw, Dickinson, ND 58601-5906 | 2018-08-10 |
| 1093184657 | Grant Lannoye | Physician Assistant | 7448 Us Hwy 281, Cando, ND 58324-0688 | 2015-09-24 |
| 1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
| 1962749226 | Lindsey K Baker | Physician Assistant | 1600 2nd Ave Sw Ste 19, Minot, ND 58701-3459 | 2013-01-07 |
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
| 1629160080 | Teresa Nielsen | Physician Assistant | 820 2nd Ave W, New England, ND 58647 | 2006-09-29 |
| 1841208394 | Lynette Marie Azure | Physician Assistant | 320 4th St Se, Devils Lake, ND 58301-3610 | 2006-08-03 |
| 1790703353 | Mary Jane Kadry | Physician Assistant | 1121 Westrac Dr S Ste 204, Fargo, ND 58103-2385 | 2006-07-18 |
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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.