UNIVERSITY OF NORTH DAKOTA (NPI# 1316008238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316008238 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NORTH DAKOTA |
| Other Organization Name | CENTER FOR FAMILY MEDICINE - MINOT |
| Practice Address |
1201 11th Ave Sw Minot ND 58701-4207 |
| Practice Telephone | 7018586700 |
| Practice Fax Number | 7018586749 |
| Mailing Telephone | 7018586700 |
| Mailing Fax Number | 7018586749 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | DR. KIMBERLY TURNER KROHN (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7018586700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 11943 | 05 |
| Other Name | Type Code |
|---|---|
| CENTER FOR FAMILY MEDICINE - MINOT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013032663 | University of North Dakota | Clinic/Center | 501 N Columbia Rd Stop 9037, Room 5918 Medical School, Grand Forks, ND 58202-9037 | 2007-03-20 |
| 1619905528 | University of North Dakota | Family Medicine | 701 E. Rosser Ave., Bismarck, ND 58501-4461 | 2006-06-29 |
| 1790762318 | University of North Dakota | Pharmacy | 2891 2nd Ave N Stop 9038, Mccannel Hall Rm 100, Grand Forks, ND 58202-9038 | 2005-12-23 |
| 1952969099 | University of North Dakota | Counselor | 501 N Columbia Rd Stop 7132, Grand Forks, ND 58203-2817 | 2019-06-04 |
| 1538428610 | University of North Dakota | Pharmacy | 701 E Rosser Ave, Bismarck, ND 58501-4461 | 2012-05-10 |
| 1649469255 | University of North Dakota | Clinic/Center | 515 E Broadway Ave, Bismarck, ND 58501-4407 | 2007-10-19 |
| 1093910762 | University of North Dakota | Audiologist | 290 Centennial Dr, Montgomery Hall Room 101, Grand Forks, ND 58202-6063 | 2007-06-20 |
| 1982734042 | University of North Dakota | Pharmacist | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2007-03-07 |
| 1215080437 | University of North Dakota | Clinic/Center | 2751 2nd Ave N Stop 9013, Hyslop Sports Center Room 115, Grand Forks, ND 58202-9013 | 2007-01-19 |
| Street Address |
1201 11TH AVE SW |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285688226 | Patrick Joseph Evans | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2006-05-22 |
| 1962013078 | Katherine Florine Klein | Pharmacist | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-08-12 |
| 1225656705 | Radhika Manjeshwar | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1285252767 | Priya Vora | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1447878921 | Sugandha Nagarajan | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1780202259 | Henry Chan | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1497373971 | Hamza Mir | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1386262863 | Varun Jain | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1306464888 | Amarjot Mann | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1225689748 | Michael Landis | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| 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 |
|---|---|---|---|---|
| 1225044381 | Daniel Lee Stephenson | Family Medicine | 1 Burdick Expressway, Minot, ND 58701-0000 | 2006-07-31 |
| 1285688226 | Patrick Joseph Evans | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2006-05-22 |
| 1336755727 | Kallie Nicole Goodman | Family Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2020-09-21 |
| 1225656705 | Radhika Manjeshwar | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1285252767 | Priya Vora | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1447878921 | Sugandha Nagarajan | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1780202259 | Henry Chan | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1497373971 | Hamza Mir | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1386262863 | Varun Jain | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| 1306464888 | Amarjot Mann | Family Medicine | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2020-07-10 |
| Find all providers in MINOT | ||||
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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.