MID DAKOTA CLINIC, PC (NPI# 1366484404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484404 |
| Entity Type | Organization |
| Organization Name | MID DAKOTA CLINIC, PC |
| Practice Address |
401 N 9th St Bismarck ND 58501-4507 |
| Practice Telephone | 7015306100 |
| Practice Fax Number | 7015306430 |
| Mailing Telephone | 7015306100 |
| Mailing Fax Number | 7015306430 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | CRAIG A SCHAAF (CFO) |
| Authorized Official Telephone | 7015306010 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13685 | 05 | |
| ND | MEDICARE RAILROAD | P00320159 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710920285 | Mid Dakota Clinic, PC | Clinical Medical Laboratory | 401 N 9th St, Bismarck, ND 58501-4507 | 2006-06-13 |
| 1275587826 | Mid Dakota Clinic, PC | Clinic/Center | 401 N 9th St, Bismarck, ND 58501-4507 | 2006-05-19 |
| Street Address |
401 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4507 |
| 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 |
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| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205082948 | Becker Plastic Surgery Center | Clinic/Center | 1500 Interchange Ave Ste 100, Bismarck, ND 58501 | 2008-08-13 |
| 1538189907 | Independent Practioners of America, LLC | Clinic/Center | 115 W Century Ave, Suite B, Bismarck, ND 58503 | 2006-07-20 |
| 1477089126 | Bismarck Sinus Center | Clinic/Center | 2331 Tyler Pkwy, Suite 5, Bismarck, ND 58503-0871 | 2017-05-02 |
| 1487814356 | Bismarck Surgical Associates LLC | Clinic/Center | 106 E Greenfield Ln, Bismarck, ND 58503-6578 | 2008-06-13 |
| 1427226125 | Northern Facial Surgeons, P.C. | Clinic/Center | 2331 Tyler Pkwy, Suite 4, Bismarck, ND 58503-0871 | 2008-02-15 |
| 1760567630 | St Alexius Same Day Surgery Center | Clinic/Center | 810 E Rosser Ave, Bismarck, ND 58502-4046 | 2006-10-26 |
| 1306832654 | St. Alexius Medical Center | Clinic/Center | 900 E Broadway Ave, Bismarck, ND 58501 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598185597 | Sanford Bismarck | Clinic/Center | 2615 Fairway Street, Dickinson, ND 58601 | 2014-04-17 |
| 1649350844 | Northern Plains Surgery Center LLC | Clinic/Center | 44 4th St S, Fargo, ND 58103-1904 | 2006-10-16 |
| 1326144221 | Fm Endoscopy Center LLC | Clinic/Center | 2829 University Dr S Ste 103, Fargo, ND 58103-6050 | 2006-09-16 |
| 1164428272 | North Dakota Surgery Center, LLC | Clinic/Center | 2600 47th Ave South, Grand Forks, ND 58201 | 2005-06-23 |
| 1215455217 | Dakota Gastroenterology, Ltd | Clinic/Center | 5049 33rd Ave S, Fargo, ND 58104-7080 | 2017-08-30 |
| 1184905309 | Abdullah Surgical Center LLC | Clinic/Center | 3280 20th St S, Fargo, ND 58104-5917 | 2011-09-01 |
| 1841526332 | Trinity Health | Clinic/Center | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-10-19 |
| 1689842395 | Aurora Surgery Center, LLC | Clinic/Center | 1451 44th Ave S, Suite 221d, Grand Forks, ND 58201-3434 | 2008-02-15 |
| 1548446669 | Innovis Health, LLC | Clinic/Center | 275 11th St S, Wahpeton, ND 58075-4655 | 2008-01-18 |
| 1801092358 | Great Plains Clinic P.C. | Clinic/Center | 33 9th St W, Dickinson, ND 58601-3950 | 2007-06-22 |
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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.