MID DAKOTA CLINIC WORKLIFE (NPI# 1356511661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356511661 |
| Entity Type | Organization |
| Organization Name | MID DAKOTA CLINIC WORKLIFE |
| Practice Address |
401 N 9th St Bismarck ND 58501-4530 |
| Mailing Address |
2700 State St Bismarck ND 58503-0669 |
| Practice Telephone | 7015306010 |
| Practice Fax Number | 7015306430 |
| Mailing Telephone | 7015306400 |
| Mailing Fax Number | 7015306430 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | MR. CRAIG A SCHAAF (CFO) |
| Authorized Official Telephone | 7015306010 |
| Is Organization Subpart | Y |
| Parent Organization Name | MID DAKOTA CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBSND | 236003 | 01 |
| Street Address |
401 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124934 | Stewart A. Sharp | Specialist | 401 N 9th St, Bismarck, ND 58501-4506 | 2005-09-19 |
| 1346856002 | Stephanie L Jensen | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4506 | 2020-09-18 |
| 1447897897 | 701 Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-12-04 |
| 1962059915 | Brightside Surgical, LLC | Surgery | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-08-23 |
| 1629541172 | Evolve Dermatology | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-01-08 |
| 1770029613 | Heritage Pharmacy East Inc | Pharmacy | 401 N 9th St, Bismarck, ND 58501-4530 | 2017-01-17 |
| 1497205876 | Sommer Fields | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-10-10 |
| 1902257454 | Jenny Schmidt | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-06-27 |
| 1659776805 | Laura Frances Roemmich | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-10-30 |
| 1568877827 | Eric J Lutzwick | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508262890 | Workpartners of Williston | Preventive Medicine | 3 4th St E Apt 102, Williston, ND 58801-5350 | 2014-11-13 |
| 1366766107 | Crystal Nelson | Preventive Medicine | 345 11th St W, West Fargo, ND 58078-1400 | 2010-03-23 |
| 1417960477 | Mark J Krisburg | Preventive Medicine | 860 S Columbia Rd., Grand Forks, ND 58201-4028 | 2006-08-14 |
| 1164470043 | Gary E. Caplan | Preventive Medicine | 1213 15th Ave. W., Williston, ND 58801-3821 | 2006-05-04 |
| 1295020519 | Meghan Hampton | Preventive Medicine | 1401 13th Ave E, West Fargo, ND 58078-3468 | 2011-06-15 |
| 1477571172 | John Gregory Beauclair | Preventive Medicine | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-18 |
| 1780602359 | Charles G Koski | Preventive Medicine | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-18 |
| 1053338913 | Peter A Eriksson | Preventive Medicine | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-16 |
| 1932144599 | Rathin N Vora | Preventive Medicine | 1401 13th Ave E, West Fargo, ND 58078-3468 | 2006-06-18 |
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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.