SERGE RASSKAZOFF (NPI# 1366716466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366716466 |
| Entity Type | Individual |
| Full Name | SERGE RASSKAZOFF |
| Credential | MD |
| Practice Address |
1300 S Columbia Rd Grand Forks ND 58201-4012 |
| Mailing Address |
1200 S Columbia Rd Grand Forks ND 58201-4036 |
| Practice Telephone | 7017802300 |
| Practice Fax Number | 7017805772 |
| Mailing Telephone | 7017805000 |
| Mailing Fax Number | 7017805772 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 036128821 | IL | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 17-719 | ZZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1366716466 | 05 |
| Street Address |
1300 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512885 | Bradley P Belluk | Surgery | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2005-07-14 |
| 1306464219 | Leanne Kilzer | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2020-07-07 |
| 1952957847 | Arthur Thorsen | Physician Assistant | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2019-08-15 |
| 1194386581 | Marlie Borowicz | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-26 |
| 1881255503 | Jenna Arnold | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-24 |
| 1720560600 | Maddie Victoria Bjornstad | Occupational Therapist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-09-06 |
| 1609352657 | Jenna Carpenter | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-12 |
| 1053897074 | Laura Goor | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2018-07-12 |
| 1700362969 | Emily Kay Voeller | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-11 |
| 1942796115 | Alison Schoenborn | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-10 |
| Find all providers in the same location | ||||
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480704 | Michael Opoku-darko | Neurological Surgery | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2019-08-01 |
| 1114106820 | John Patrick Eickman | Neurological Surgery | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-10-30 |
| 1659569200 | Janet Lee | Neurological Surgery | 1300 S Columbia Rd, Grand Forks, ND 58206 | 2007-10-09 |
| 1316154594 | Girma Makonnen | Neurological Surgery | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457551228 | Steven Jared Broadway | Neurological Surgery | 2829 University Dr S Ste 202, Fargo, ND 58103-6050 | 2007-07-20 |
| 1528174554 | Roger Franklin Kennedy | Neurological Surgery | 846 45th Ave Nw, Lot 10, Hazen, ND 58545-9362 | 2006-08-22 |
| 1326064718 | Charles S Rothberg | Neurological Surgery | 2016 N Grandview Ln, Bismarck, ND 58503-0845 | 2006-07-15 |
| 1700872157 | Harry C Weiser | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2005-09-21 |
| 1720087000 | Kym L Chandler | Neurological Surgery | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2005-07-19 |
| 1528064144 | Charles Owen Wood | Neurological Surgery | 20 Burdick Expy. W., Minot, ND 58701-4493 | 2005-06-28 |
| 1205377793 | Behzad Sabit | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103 | 2017-03-16 |
| 1467907097 | Synapses LLC | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2016-08-24 |
| 1790150332 | Evgueni E Kouznetsov | Neurological Surgery | 700 1st Ave S, Fargo, ND 58103-1802 | 2015-12-08 |
| 1679987366 | St. Vincent Healthcare | Neurological Surgery | 1213 15th Ave W, Williston, ND 58801-3800 | 2014-06-20 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on SERGE RASSKAZOFF.
| 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.