MR. ORLAN JACKSON (NPI# 1184602666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184602666 |
| Entity Type | Individual |
| Full Name | MR. ORLAN JACKSON |
| Credential | D.O. |
| Practice Address |
1312 Highway 49 N Beulah ND 58523-6038 |
| Practice Telephone | 7018734445 |
| Practice Fax Number | 7018734199 |
| Mailing Telephone | (701) 873-4445 |
| Mailing Fax Number | 7018734199 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ND5650 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13470 | 05 | |
| ND | BLUE CROSS BLUE SHIELD ND | 27705 | 01 |
| Street Address |
1312 HIGHWAY 49 N |
| City | BEULAH |
| State | ND |
| Zip Code | 58523-6038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564115 | Abbey Pelton | Nurse Practitioner | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2020-06-29 |
| 1114548096 | Estee Michelle Schmidt | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2020-05-01 |
| 1740748763 | Tyler James Mckay | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2019-03-08 |
| 1659847572 | Rhonda Pfenning | Registered Nurse | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-10-18 |
| 1114405230 | Kelsey Leigh Striefel | Nurse Practitioner | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-07-31 |
| 1396221149 | Kayla Marie Ternes | Physician Assistant | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2018-07-16 |
| 1295265338 | Sheena Berger | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2017-06-12 |
| 1619327889 | Joshua Gibbel | Nurse Practitioner | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2016-06-17 |
| 1003271008 | Dana Maas | Counselor | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2015-12-18 |
| 1942624689 | Kayla Leigh Olson | Physician Assistant | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2014-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1467894220 | Stacy Lynn Johnson | Nurse Practitioner | 420 Cty Rd. 26, Beulah, ND 58523 | 2013-07-22 |
| 1245248418 | Michael J Hammerschmidt | Optometrist | 204 West Main Street, Beulah, ND 58523 | 2006-08-04 |
| 1457339939 | Aaron Garman | Family Medicine | 1312 Hwy 49 Nw, Beulah, ND 58523 | 2006-01-05 |
| 1275090771 | S.t.o.n.e Clinic PC | Physical Therapist | 108 W Main St, Suite B, Beulah, ND 58523 | 2019-02-21 |
| 1760882856 | Devan Reinhardt | Occupational Therapist | 108 W Main St, Ste B, Beulah, ND 58523 | 2014-08-26 |
| 1225350911 | Cindi D Reinhardt | Physical Therapist | 108 W. Main St, Ste B, Beulah, ND 58523 | 2010-02-22 |
| 1023250610 | Nicole Marie Gabriel | Chiropractor | 101 W Main, Beulah, ND 58523 | 2009-03-30 |
| 1700049830 | Alison Leigh Just | Dentist | 200 West Main Street, Beulah, ND 58523 | 2008-07-09 |
| 1013127687 | Kevin B Lee | Dentist | 200 West Main Street, Beulah, ND 58523 | 2007-05-23 |
| Find all providers in zip 58523 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457339939 | Aaron Garman | Family Medicine | 1312 Hwy 49 Nw, Beulah, ND 58523 | 2006-01-05 |
| 1942648878 | Michelle Placke | Family Medicine | 1312 Highway 49 N, Beulah, ND 58523-6038 | 2013-06-13 |
| 1528046000 | Thomas Kaspari | Family Medicine | 1312 Hwy 49 Nw, Beulah, ND 58523 | 2006-01-05 |
| 1205814787 | Jacinta Klindworth | Family Medicine | 1312 Hwy 49 Nw, Beulah, ND 58523 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068035 | Rory Ratzlaff | Family Medicine | Sanford Health 737 Broadway N, Fargo, ND 58122-0001 | 2018-06-28 |
| 1710472725 | Shabnum Gupta | Family Medicine | Sanford Health 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-22 |
| 1538661384 | Community Uplift Program | Family Medicine | 417 Main Ave Ste 401, Fargo, ND 58103-1956 | 2018-03-07 |
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1417343831 | Ashley Lynn Loughner | Family Medicine | 194 Missle Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2015-04-13 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1982031746 | Turtle Mountain Family Medicine, LLC | Family Medicine | 115 Main Street Ne, Dunseith, ND 58329 | 2013-10-10 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
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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.