DR. STANLEY DIEDE (NPI# 1366533382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366533382 |
| Entity Type | Individual |
| Full Name | DR. STANLEY DIEDE |
| Credential | MD |
| Practice Address |
310 N 10th St Bismarck ND 58501-4516 |
| Practice Telephone | 7015307500 |
| Practice Fax Number | 7015307484 |
| Mailing Telephone | 7015307500 |
| Mailing Fax Number | 7015307484 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4419 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | RAILROAD MEDICARE | P00188578 | 01 |
| ND | NPI | 1366533382 | 01 |
| Street Address |
310 N 10TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396724282 | Todd M Preszler | Anesthesiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-01-10 |
| 1174184832 | Anita M Fru | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2019-06-24 |
| 1366007288 | Sarah Andes | Social Worker | 310 N 10th St, Bismarck, ND 58501-4516 | 2019-05-06 |
| 1477047447 | Jacklene Hoffman | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2018-06-21 |
| 1528409505 | Tana Bock | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2013-07-08 |
| 1962842120 | Megan Fettig | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2013-07-02 |
| 1538506696 | Andrea Rudnick | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2013-05-30 |
| 1346504016 | Sara Lynn Wiedrich | Nurse Practitioner | 310 N 10th St, Bismarck, ND 58501-4516 | 2012-06-27 |
| 1013233436 | Amanda Susan Braaten | Anesthesiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-04-09 |
| 1801110101 | Nicholas Coren Bradbury | Radiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-03-16 |
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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 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1003923780 | Nicholas C Mahr | Internal Medicine | 310 N 10th Street, Bismarck, ND 58501-4516 | 2006-08-25 |
| 1730132655 | Radomysl M Twardowski | Internal Medicine | 2937 Carriage Cir, Bismarck, ND 58503-0113 | 2006-05-19 |
| 1528471810 | Sundermurthy Yamini | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2014-06-04 |
| 1316368236 | Nayan K Desai | Internal Medicine | 300 N 7th St, Bismarck, ND 58501-4439 | 2013-12-18 |
| 1104137405 | Stephen Asante Boateng | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2010-07-01 |
| 1548423080 | Boban Mathew | Internal Medicine | 310 N 10th St, Heart & Lung Unit, St Alexius Hospital, Bismarck, ND 58501-4516 | 2008-07-04 |
| 1477621019 | Amitra Caines | Internal Medicine | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2006-12-01 |
| 1912098971 | Norman Eshoo | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-27 |
| 1073625612 | Ivaldo A Lunardi | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-08-31 |
| 1871605279 | Timothy L Pansegrau | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-08-31 |
| Find all providers in BISMARCK | ||||
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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.