NORTH DAKOTA SURGERY CENTER, LLC (NPI# 1164428272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164428272 |
| Entity Type | Organization |
| Organization Name | NORTH DAKOTA SURGERY CENTER, LLC |
| Practice Address |
2600 47th Ave South Grand Forks ND 58201 |
| Mailing Address |
3035 Demers Ave Grand Forks ND 58201-4040 |
| Practice Telephone | 7017384248 |
| Practice Fax Number | 7017753153 |
| Mailing Telephone | 7017384240 |
| Mailing Fax Number | 7017753153 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6152345935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
35C0001011 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10202 | 05 |
| Street Address |
2600 47TH AVE SOUTH |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689842395 | Aurora Surgery Center, LLC | Clinic/Center | 1451 44th Ave S, Suite 221d, Grand Forks, ND 58201-3434 | 2008-02-15 |
| 1639372154 | Altru Health System | Clinic/Center | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598185597 | Sanford Bismarck | Clinic/Center | 2615 Fairway Street, Dickinson, ND 58601 | 2014-04-17 |
| 1205082948 | Becker Plastic Surgery Center | Clinic/Center | 1500 Interchange Ave Ste 100, Bismarck, ND 58501 | 2008-08-13 |
| 1649350844 | Northern Plains Surgery Center LLC | Clinic/Center | 44 4th St S, Fargo, ND 58103-1904 | 2006-10-16 |
| 1326144221 | Fm Endoscopy Center LLC | Clinic/Center | 2829 University Dr S Ste 103, Fargo, ND 58103-6050 | 2006-09-16 |
| 1538189907 | Independent Practioners of America, LLC | Clinic/Center | 115 W Century Ave, Suite B, Bismarck, ND 58503 | 2006-07-20 |
| 1215455217 | Dakota Gastroenterology, Ltd | Clinic/Center | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2017-08-30 |
| 1477089126 | Bismarck Sinus Center | Clinic/Center | 2331 Tyler Pkwy, Suite 5, Bismarck, ND 58503-0871 | 2017-05-02 |
| 1184905309 | Abdullah Surgical Center LLC | Clinic/Center | 3280 20th St S, Fargo, ND 58104-5917 | 2011-09-01 |
| 1841526332 | Trinity Health | Clinic/Center | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-10-19 |
| 1487814356 | Bismarck Surgical Associates LLC | Clinic/Center | 106 E Greenfield Ln, Bismarck, ND 58503-6578 | 2008-06-13 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on NORTH DAKOTA SURGERY CENTER, LLC.
| 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.