TIMOTHY P UGLEM (NPI# 1396766630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396766630 |
| Entity Type | Individual |
| Full Name | TIMOTHY P UGLEM |
| Credential | DPM |
| Practice Address |
2400 32nd Ave S Fargo ND 58103 |
| Mailing Address |
2400 32nd Ave S Fargo ND 58103-5800 |
| Practice Telephone | 7012348770 |
| Practice Fax Number | 7012348779 |
| Mailing Telephone | 7012348770 |
| Mailing Fax Number | 7012348779 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2018-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
588 | MN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2400 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693875 | Chris L Cleveland | Pediatrics | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2005-10-14 |
| 1306456470 | Darcy Thompson | Registered Nurse | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-08-04 |
| 1457988636 | Lisa Aipperspach | Dietitian, Registered | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-03-26 |
| 1588298525 | Adriane Maag Carney | Acupuncturist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-02-28 |
| 1255961090 | Bailey June Hanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-01-21 |
| 1013564624 | Erin Marie Wilmes | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-20 |
| 1346896016 | Ashley Jobe | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-17 |
| 1194371377 | Casey Murphy | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-14 |
| 1316507221 | Evan Lee Zacharias I | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-13 |
| 1801455449 | Danielle Swanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023363587 | Robert Renschler | Podiatrist | 1702 South University Drive, Eh South University Clinic, Fargo, ND 58103-4940 | 2012-07-19 |
| 1487917340 | John Paul Naughton | Podiatrist | 1720 University Dr S, Fargo, ND 58103-4940 | 2012-06-15 |
| 1871762997 | Bradley Richard Olson | Podiatrist | 1702 University Dr S, Fargo, ND 58103-4940 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073979845 | Capital Foot and Ankle | Podiatrist | 136 W Edmonton Dr, Bismarck, ND 58503-0224 | 2016-01-11 |
| 1164647822 | Grand Forks Foot and Ankle Clinic, Pllc | Podiatrist | 1451 44th Ave S Ste 128d, Grand Forks, ND 58201-3434 | 2007-04-16 |
| 1902873458 | Brian D Gale | Podiatrist | 1733 E Capitol Ave, Bismarck, ND 58501-2150 | 2006-03-03 |
| 1649240557 | Clark J Fullmer II | Podiatrist | 2615 Fairway St, Dickinson, ND 58601 | 2006-01-24 |
| 1346669082 | Yashraj Chauhan | Podiatrist | 3035 Demers Ave, Grand Forks, ND 58201 | 2014-04-09 |
| 1962753749 | Accessible Podiatry, P.C. | Podiatrist | 3 4th St E, Suite 102, Williston, ND 58801-5350 | 2012-09-20 |
| 1043574460 | Rachael Renschler | Podiatrist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2012-06-29 |
| 1487945630 | Guy K Slann | Podiatrist | 3 4th St E, Suite 102, Williston, ND 58801-5350 | 2011-04-22 |
| 1295044212 | Aaron J Albers | Podiatrist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2010-09-26 |
| 1215244041 | Gregory Iwaasa | Podiatrist | 401 N 9th St, Bismarck, ND 58501-4530 | 2010-08-31 |
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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.