MIDWEST GASTROENTEROLOGY PC (NPI# 1326669805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326669805 |
| Entity Type | Organization |
| Organization Name | MIDWEST GASTROENTEROLOGY PC |
| Practice Address |
1200 S Columbia Rd Grand Forks ND 58201-4036 |
| Mailing Address |
1320 Whiting Rd Nw Unit 54 Bemidji MN 56601-6629 |
| Practice Telephone | 7017805000 |
| Mailing Telephone | 6309014143 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | FAIZAN ALI KHAN (GASTROENTEROLOGY) |
| Authorized Official Telephone | 6309014143 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 323 S Minnesota St, Crookston, MN 567161601 | 2182819200 |
| Street Address |
1200 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740252220 | Michael Stanley Schlegel | Emergency Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-02-07 |
| 1225660756 | Tyler Sand | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-12 |
| 1174155774 | Carissa Ashlee Grabanski | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-02-11 |
| 1215569652 | Casey Laine Pesch | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-02-04 |
| 1023648557 | Lindsey K Holter | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2020-01-23 |
| 1740822899 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2019-10-10 |
| 1790347268 | Courtney Naastad | Nurse Practitioner | 1200 S Columbia Rd, Grand Forks, ND 58201 | 2019-07-03 |
| 1679035182 | Dillon Meyer | Pharmacist | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-04-03 |
| 1114485315 | Altru 2018 LLC | Ambulance | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-03-06 |
| 1629534193 | Kasey Jon Trontvet | Nurse Anesthetist, Certified Registered | 1200 S Columbia Rd, Grand Forks, ND 58201-4044 | 2019-02-20 |
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| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255360244 | Krishna C. Gurram | Internal Medicine | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2006-07-02 |
| 1801189550 | William Asher Wolf | Internal Medicine | 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 | 2011-05-26 |
| 1952483786 | Howard Mark Hack | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2006-10-20 |
| 1073573044 | James Rese Wood | Internal Medicine | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518047091 | Fargo Gastroenterology & Hepatology Clinic,pc | Internal Medicine | 1665 43rd St S, Suite 100, Fargo, ND 58103-3319 | 2006-10-17 |
| 1922039684 | Fadel E Nammour | Internal Medicine | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2006-07-05 |
| 1215917992 | Arezoo Taheri | Internal Medicine | 2301 25th St S, Ste I, Fargo, ND 58103 | 2006-01-19 |
| 1649261256 | Ira Paul Michaelson | Internal Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2005-11-02 |
| 1881024271 | Dakota Gastroenterology, Ltd | Internal Medicine | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2013-11-21 |
| 1396038162 | Israr Ahmad Sheikh | Internal Medicine | 801 Broadway N, Fargo, ND 58102 | 2011-05-26 |
| 1245558428 | Kimberly J Kolkhorst | Internal Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2010-05-12 |
| 1164674644 | Navin Paul | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2008-10-16 |
| 1699989939 | Sajid Jalil | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2007-05-09 |
| 1972623577 | Douglas John Renton | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2007-03-29 |
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| 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.