KWAME EAGLETON (NPI# 1376779827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376779827 |
| Entity Type | Individual |
| Full Name | KWAME EAGLETON |
| Credential | M.D. |
| Practice Address |
1200 S Columbia Rd Department of Anesthesiology Grand Forks ND 58201-4036 |
| Mailing Address |
2397a S 36th St Grand Forks ND 58201-8841 |
| Practice Telephone | 7017805000 |
| Mailing Telephone | 7134162703 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2013-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | TP10034748 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1200 S COLUMBIA RD DEPARTMENT OF ANESTHESIOLOGY |
| 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 |
| 1326669805 | Midwest Gastroenterology PC | Internal Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2020-05-06 |
| 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 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275996530 | Ian Roche | Anesthesiology | 1200 S. Columbia Rd, Grand Forks, ND 58201-4036 | 2016-04-03 |
| 1902244379 | Megan J Christensen | Anesthesiology | 1300 South Columbia Road, Grand Forks, ND 58201 | 2013-06-07 |
| 1952746851 | Bethany Joanne Beyer Gourneau | Anesthesiology | 1300 South Columbia Road, Grand Forks, ND 58201 | 2013-05-06 |
| 1255580940 | Robert Scott Childs | Anesthesiology | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2008-09-17 |
| 1780842963 | Vinita J Parikh | Anesthesiology | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2008-05-24 |
| 1629138516 | Bapanaiah Penugonda | Anesthesiology | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-12-11 |
| 1245326503 | Robin K Severud | Anesthesiology | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-10-05 |
| 1093800344 | Olivia V Carcoana | Anesthesiology | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-10-04 |
| 1699867028 | Jitendra R Parikh | Anesthesiology | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-09-30 |
| 1851482657 | Jonathan S Haug | Anesthesiology | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-09-27 |
| Find all providers in GRAND FORKS | ||||
| 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.