DR. UTPAL U CHAKRAVORTY (NPI# 1295761641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295761641 |
| Entity Type | Individual |
| Full Name | DR. UTPAL U CHAKRAVORTY |
| Credential | MD |
| Practice Address |
1282 Walnut St Dawson MN 56232-2333 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 3203122118 |
| Practice Fax Number | 3207692972 |
| Mailing Telephone | 7013646600 |
| Mailing Fax Number | 7013646628 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38604 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 909316800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3902 13th Ave S, Fargo, ND 581033357 | 7013646600 | 7013646628 |
| Street Address |
1282 WALNUT ST |
| City | DAWSON |
| State | MN |
| Zip Code | 56232-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145796 | Johnson Memorial Health Services | Clinic/Center | 1282 Walnut St, Dawson, MN 56232 | 2005-06-21 |
| 1023631041 | Brown Clinic Pllp | Podiatrist | 1282 Walnut St, Dawson, MN 56232-2333 | 2020-05-26 |
| 1942759576 | Alicia Peterson | Nurse Practitioner | 1282 Walnut St, Dawson, MN 56232-2333 | 2016-09-23 |
| 1215135488 | Renae A Durfee | Nurse Practitioner | 1282 Walnut St, Dawson, MN 56232-2333 | 2007-07-10 |
| 1962550400 | Bonnie A Will | Physical Therapist | 1282 Walnut St, Dawson, MN 56232-2333 | 2007-01-08 |
| 1861554073 | Ayaz Virji | Family Medicine | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-12-14 |
| 1871653758 | Larry Jay Grong | Internal Medicine | 1282 Walnut St, Dawson, MN 56232 | 2006-12-11 |
| 1861506354 | Johnson Memorial Health Services | Skilled Nursing Facility | 1282 Walnut St, Dawson, MN 56232 | 2006-08-19 |
| 1770697260 | Johnson Memorial Health Services | Medicare Defined Swing Bed Unit | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-08-19 |
| 1093745051 | Johnson Memorial Health Services | General Acute Care Hospital | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689002933 | Dawson Drug Pllc | Pharmacy | 812 6th St., Dawson, MN 56232 | 2013-10-24 |
| 1770623217 | Divine House II Inc. | Intermediate Care Facility, Mentally Retarded | 2974 192nd St, Dawson, MN 56232 | 2007-02-07 |
| 1942395702 | Jorzach Inc | Optometrist | 878 6th St, Dawson, MN 56232 | 2006-10-04 |
| 1215077755 | Facing New Horizons, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2974 192nd St, Dawson, MN 56232 | 2007-02-07 |
| 1649271644 | Vernon J Anderson | Chiropractor | 653 Chestnut St, Dawson, MN 56232-0272 | 2005-08-02 |
| 1164540910 | Thomas Walter Hansen | Dentist | 792 6th St, Dawson, MN 56232-0456 | 2007-03-27 |
| 1700874005 | Stephen John Morris | Dentist | 737 Pine St, Dawson, MN 56232-1008 | 2005-10-11 |
| 1538395124 | Sonshine Home Health Care LLC | Nursing Care | 1313 Spruce St, Dawson, MN 56232-2259 | 2009-06-09 |
| 1104930692 | Johnson Memorial Health Services | Home Health | 1290 Locust St, Dawson, MN 56232-2326 | 2006-08-19 |
| 1740602499 | Johnson Memorial Health Services | Assisted Living Facility | 1255 Walnut St, Dawson, MN 56232-2333 | 2014-01-15 |
| Find all providers in zip 56232 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144250135 | Ralph Leonard Gerbig | Family Medicine | 1272 Walnut St, Dawson, MN 56232-2333 | 2006-07-04 |
| 1922070077 | Michael Sein | Family Medicine | 420 Johnson St Se, Dawson, GA 39842-1523 | 2006-02-03 |
| 1861554073 | Ayaz Virji | Family Medicine | 1282 Walnut St, Dawson, MN 56232-2333 | 2006-12-14 |
| 1750389144 | Erik J Shelstad | Family Medicine | 1282 Walnut St, Dawson, MN 56232-2333 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
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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.