MARK W KLABO (NPI# 1275793978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275793978 |
| Entity Type | Individual |
| Full Name | MARK W KLABO |
| Credential | PA-C |
| Practice Address |
570 Chautauqua Blvd Valley City ND 58072-3145 |
| Practice Telephone | 7018456400 |
| Practice Fax Number | 7018456466 |
| Mailing Telephone | 7018456400 |
| Mailing Fax Number | 7018456466 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2011-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAC0391 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | LICENSE | PAC0391 | 01 |
| Street Address |
570 CHAUTAUQUA BLVD |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409490 | Jeffrey Dale Schultz | Nurse Anesthetist, Certified Registered | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2005-06-30 |
| 1235549767 | Patrick S Callahan | Specialist/Technologist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2014-05-06 |
| 1740576115 | Trent William Bitz | Nurse Practitioner | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2011-06-23 |
| 1013193523 | Mercy Hospital | Pharmacy | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2008-01-15 |
| 1912183450 | Mercy Hospital | Respite Care | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2008-01-15 |
| 1609900216 | Chrissie L Washburn | Physical Therapist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2007-03-15 |
| 1467586081 | Grant J Goven | Physical Therapist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2007-03-15 |
| 1285767368 | Michael G Bresnahan | Physical Therapist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2007-03-14 |
| 1437290582 | Barbara Ann Harris | Pharmacist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2007-02-10 |
| 1043302565 | Amy J Noeske | Pharmacist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215393657 | Jessica Gower | Physician Assistant | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2016-01-14 |
| 1073825089 | Judy L Anderson | Physician Assistant | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2010-07-07 |
| 1336195387 | Carl M Orthman | Physician Assistant | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354005 | Jessica Lynn O'neal | Physician Assistant | 112 Roaming Rd Apt 1, Minot Afb, ND 58704-1221 | 2020-10-23 |
| 1710473764 | Larissa Ann Haug | Physician Assistant | 1200 Roberts Avenue Ne, Cooperstown, ND 58425-7101 | 2018-07-02 |
| 1205350279 | Jillian Clyburn | Physician Assistant | 5th Medical Group, Bldg #194, 10 Missile Ave, Minot Afb, ND 58704 | 2017-08-01 |
| 1477082097 | Britta Julson | Physician Assistant | 1312 Hwy 49 N Frontage Rd, Beulah, ND 58523 | 2017-06-07 |
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1629449418 | Ashton Leigh Hedger | Physician Assistant | 1001 7th St. Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2015-10-19 |
| 1831430644 | Danielle Rae Anderson | Physician Assistant | 401 N 9th St # T, Bismarck, ND 58501-4530 | 2013-03-05 |
| 1174895833 | Kacie M Brown | Physician Assistant | 1113 Korina Ave Unit A, Grand Forks Afb, ND 58204-1378 | 2012-01-27 |
| 1306123435 | Jamelle Lelito | Physician Assistant | 310 N 9th St Ste 1, Bismarck, ND 58501-4515 | 2011-11-03 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
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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.