DR. DARIN TRACY LEETUN (NPI# 1225080476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225080476 |
| Entity Type | Individual |
| Full Name | DR. DARIN TRACY LEETUN |
| Credential | MD |
| Practice Address |
3035 Demers Ave Grand Forks ND 58201-4040 |
| Practice Telephone | 7017467521 |
| Mailing Telephone | 7017467521 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8133 | ND | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MI43084882 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUECROSS STATE ID | DL084882 | 01 |
| MI | MEDICARE GROUP | 0C16002 | 01 |
| MI | 104727842 | 05 | |
| MI | MEDICARE DME | 0829560001 | 01 |
| Street Address |
3035 DEMERS AVE |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356099 | Gary L. Karlstad | Specialist | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2005-06-20 |
| 1265093124 | Mckenzie Ann Brown | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-06-21 |
| 1568925121 | Alys Seay | Physician Assistant | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-04-10 |
| 1881094928 | Jamie Arola | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2014-08-26 |
| 1346669082 | Yashraj Chauhan | Podiatrist | 3035 Demers Ave, Grand Forks, ND 58201 | 2014-04-09 |
| 1396184123 | Katherine Marie Carson | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201 | 2013-06-14 |
| 1780842963 | Vinita J Parikh | Anesthesiology | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2008-05-24 |
| 1114106820 | John Patrick Eickman | Neurological Surgery | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-10-30 |
| 1891995445 | Esperanza S Argenziano | Internal Medicine | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-07-23 |
| 1346370640 | Achieve Therapy LLC | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-03-06 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578820775 | Jessica S Shin | Orthopaedic Surgery | 4440 S. Washington St., Grand Forks, ND 58201-7245 | 2012-04-12 |
| 1710246905 | Andrew Charles Toftoy | Orthopaedic Surgery | 4440 S. Washington St., Grand Forks, ND 58201-7245 | 2012-05-09 |
| 1568769941 | Hans Fjeld Joseph | Orthopaedic Surgery | 4440 S Washington St, Grand Forks, ND 58201-7245 | 2011-02-19 |
| 1164610960 | Matthew J. Marquart | Orthopaedic Surgery | 1200 S Columbia Rd, Grand Forks, ND 58201 | 2007-10-05 |
| 1881886497 | Jeremy John Gardner | Orthopaedic Surgery | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-08-16 |
| 1154413581 | David M Rathbone | Orthopaedic Surgery | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2006-09-30 |
| 1013008812 | Robert A Johnson | Orthopaedic Surgery | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2006-09-27 |
| 1932121423 | Jeffrey F Haasbeek | Orthopaedic Surgery | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2006-07-24 |
| 1932170057 | David M Schall | Orthopaedic Surgery | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2006-01-27 |
| 1598736662 | Robert H Clayburgh | Orthopaedic Surgery | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2006-01-27 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.