NORTHERN VALLEY OBSTETRICS & GYNECOLOGY, P.C. (NPI# 1194778035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194778035 |
| Entity Type | Organization |
| Organization Name | NORTHERN VALLEY OBSTETRICS & GYNECOLOGY, P.C. |
| Practice Address |
2810 17th Ave S Grand Forks ND 58201-4010 |
| Practice Telephone | 7017382004 |
| Mailing Telephone | 7017382004 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | RORY TROTTIER (PRESIDENT) |
| Authorized Official Telephone | 7017382004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
8135 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | PTAN | N711838 | 01 |
| Street Address |
2810 17TH AVE S |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629239637 | Amanda Louise Bonn Vesterso | Dentist | 2810 17th Ave S, Grand Forks, ND 58201-4010 | 2008-06-23 |
| 1427002930 | Rory Dwain Trottier | Obstetrics & Gynecology | 2810 17th Ave S, Grand Forks, ND 58201-4010 | 2006-05-20 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730623943 | Family Practice Associates | Clinic/Center | 1401 17th Ave N, Wahpeton, ND 58075-3138 | 2016-12-06 |
| 1477970846 | Minot Health Clinic | Clinic/Center | 1021 20th Ave Sw Ste 113, Minot, ND 58701-6487 | 2014-03-24 |
| 1801145206 | Anova Family Health Center Inc. | Clinic/Center | 113 Main Street South, Watford City, ND 58854-2479 | 2012-08-31 |
| 1033475868 | Prairie Assisted Living Services LLC | Clinic/Center | 4914 Amberglow Dr, Bismarck, ND 58503-8851 | 2012-04-05 |
| 1932426509 | Full Life Chiropractic Pllc | Clinic/Center | 3212 14th Avenue South, Suite 2, Fargo, ND 58103-6306 | 2010-04-22 |
| 1922148774 | Derosier Chiropractic Clinic, P.C. | Clinic/Center | 4005 Overlook Dr, Bismarck, ND 58503-8216 | 2007-02-08 |
| 1487268611 | Compass Health | Clinic/Center | 104 1st Ave Se, Kenmare, ND 58746-7329 | 2020-09-04 |
| 1053798892 | Premier Healthcare | Clinic/Center | 425 College Dr S, Ste #14, Devils Lake, ND 58301-3537 | 2015-04-30 |
| 1780073932 | Family Care Clinic, PC | Clinic/Center | 817 Lincoln Ave, Harvey, ND 58341-1521 | 2015-01-12 |
| 1265836977 | Embrace Wellness Pllc | Clinic/Center | 1140 W Capitol Ave, Bismarck, ND 58501-1306 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on NORTHERN VALLEY OBSTETRICS & GYNECOLOGY, P.C..
| 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.