DR. RYAN BOGNER (NPI# 1225440324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225440324 |
| Entity Type | Individual |
| Full Name | DR. RYAN BOGNER |
| Credential | M.D. |
| Practice Address |
4656 40th Ave S Fargo ND 58104-4397 |
| Mailing Address |
Po Box 950132 Louisville KY 40295-0132 |
| Practice Telephone | 7012348860 |
| Practice Fax Number | 7012348924 |
| Mailing Telephone | 8889808992 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 15560 | ND | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 51443 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
4656 40TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121304 | Thomas J Matzke | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2006-05-17 |
| 1669939658 | Jessica Adeline Satrom | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104-4397 | 2019-02-26 |
| 1528595790 | Brianna Lynn Strube | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104-4397 | 2017-05-17 |
| 1952641987 | Palak Patel | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104 | 2013-02-28 |
| 1518247816 | Sanford Medical Center Fargo | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2011-08-18 |
| 1972895803 | Stephanie M Murphy | Physician Assistant | 4656 40th Ave S, Fargo, ND 58104-4397 | 2011-05-11 |
| 1952539223 | Tania Marie Gonzalez Santiago | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2009-06-25 |
| 1689836975 | Meritcare Medical Group | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4394 | 2008-06-27 |
| 1609040427 | Joanne Ruth Montgomery | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2008-04-14 |
| 1932126919 | Judith L Reese | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2006-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205031713 | Rachel C Ness | Dermatology | 3173 43rd Street S Ste A, Fargo, ND 58104-4564 | 2007-06-15 |
| 1902978455 | Beth A Honl | Dermatology | 4133 30th Ave S Ste 101, Fargo, ND 58104-8421 | 2006-11-13 |
| 1952408809 | Chetan P Maingi | Dermatology | 4556 40th Avenue South, Suite 130, Fargo, ND 58104 | 2006-09-20 |
| 1639121304 | Thomas J Matzke | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2006-05-17 |
| 1245223023 | Kimberly Rae Kelly | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2005-08-26 |
| 1912359977 | Natalie Marie Kollman | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2016-07-01 |
| 1043666274 | Dong Kim | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2016-05-06 |
| 1518247816 | Sanford Medical Center Fargo | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2011-08-18 |
| 1952539223 | Tania Marie Gonzalez Santiago | Dermatology | 4656 40th Ave S, Fargo, ND 58104-4397 | 2009-06-25 |
| 1780826867 | Michael Blankinship | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2009-04-03 |
| Find all providers in FARGO | ||||
Please comment or provide details below to improve the information on DR. RYAN BOGNER.
| 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.