DR. KAREL A DELEEUW (NPI# 1225013022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225013022 |
| Entity Type | Individual |
| Full Name | DR. KAREL A DELEEUW |
| Credential | M.D. |
| Practice Address |
1717 University Dr S Fargo ND 58103 |
| Mailing Address |
34522 N Scottsdale Rd # 404 Scottsdale AZ 85266-1224 |
| Practice Telephone | 7012342000 |
| Mailing Telephone | 4804953356 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2332 | ND | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | PT15017 | ND | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | 32072 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 32072 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 816936 | 05 | |
| AZ | TRIWEST | 86080015085259C381 | 01 |
| AZ | RAILROAD MEDICARE | P00150696 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5779 E Mayo Blvd, Phoenix, AZ 85054 | 4803018000 |
| Street Address |
1717 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373876 | Jennifer R. Olbum | Ophthalmology | 1717 University Dr S, Fargo, ND 58103-4939 | 2005-06-01 |
| 1750949855 | Chelsea Marie Norman | Physician Assistant | 1717 University Dr S, Fargo, ND 58103-4939 | 2019-06-03 |
| 1245726363 | Anna Pauline Wilson | Nurse Practitioner | 1717 University Dr S, Fargo, ND 58103-4939 | 2018-07-02 |
| 1598262545 | Leann Elizabeth Czapiewski | Dietitian, Registered | 1717 University Dr S, Fargo, ND 58103-4939 | 2018-04-06 |
| 1881063006 | Meagen Anderson | Physician Assistant | 1717 University Dr S, Fargo, ND 58103-4939 | 2015-09-17 |
| 1972938843 | Amber D Strobel | Nurse Practitioner | 1717 University Dr S, Fargo, ND 58103-4939 | 2013-09-10 |
| 1750632352 | Brianna Srnsky | Dietitian, Registered | 1717 University Dr S, Fargo, ND 58103-4939 | 2012-09-24 |
| 1790060846 | Alison Rae Moses | Optometrist | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-10-19 |
| 1215211750 | Kelsey R Herrick | Dietitian, Registered | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-10-03 |
| 1891075198 | Sanford Medical Center Fargo | Eyewear Supplier (Equipment, not the service) | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750661054 | Sanford Medical Center Fargo | Oral & Maxillofacial Surgery | 801 Broadway N, Fargo, ND 58102-3641 | 2011-08-18 |
| 1245526722 | Corbett A Haas | Oral & Maxillofacial Surgery | 3000 32nd Ave S, Fargo, ND 58103 | 2011-06-23 |
| 1588962781 | William J Boggess | Oral & Maxillofacial Surgery | 1717 University Dr S, Fargo, ND 58103-4939 | 2011-03-11 |
| 1740231182 | Dakota Clinic, Ltd. | Oral & Maxillofacial Surgery | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376650218 | Karl J Hapcic | Oral & Maxillofacial Surgery | 2252 N. Seventh St, Bismarck, ND 58501 | 2006-08-24 |
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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.