IAN L GREYBULL (NPI# 1447522206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447522206 |
| Entity Type | Organization |
| Organization Name | IAN L GREYBULL |
| Practice Address |
300 W Century Ave Bismarck ND 58503-1405 |
| Practice Telephone | 7013239900 |
| Practice Fax Number | 7013239911 |
| Mailing Telephone | 7013239900 |
| Mailing Fax Number | 7013239911 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-05-30 |
| Authorized Official Name | SHAWNA ZASTOUPIL (DIRECTOR OF CODING/BILLING) |
| Authorized Official Telephone | 7013239900 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
R29280 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 84140 | 05 |
| Street Address |
300 W CENTURY AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609825132 | Pedro G Mendoza | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-05-10 |
| 1831609601 | Amy Dawn Wilkens | Nurse Practitioner | 300 W Century Ave, Bismarck, ND 58503-1405 | 2017-10-06 |
| 1154505360 | F E K Addo Md PC | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2007-12-24 |
| 1326235631 | Dr. Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2007-10-01 |
| 1760678676 | Pedro G Mendoza Md PC | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1401 | 2007-09-25 |
| 1003974163 | Gerry Meier | Physical Medicine & Rehabilitation | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-12-04 |
| 1003989252 | Linda F Gourneau Md PC | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-11-16 |
| 1891894747 | Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-09-21 |
| 1770689945 | Kristie L Todd-reisnour | Nurse Practitioner | 300 W Century Ave, Bismarck, ND 58503-1405 | 2006-09-15 |
| 1902911639 | Linda Faye Gourneau | Family Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124640479 | Bright Life Family Chiropractic, PC | Clinic/Center | 3001 Yorktown Dr Ste 3, Bismarck, ND 58503-8518 | 2020-05-09 |
| 1003989252 | Linda F Gourneau Md PC | Clinic/Center | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093015265 | Spirit Lake Head Start | Clinic/Center | 816 3rd Ave North, Fort Totten, ND 58335 | 2010-10-22 |
| 1265678056 | Strinden Vision | Clinic/Center | 3221 32nd Ave S, Suite 300, Grand Forks, ND 58201-6071 | 2008-12-28 |
| 1972090181 | Blue Apple Wellness, LLP | Clinic/Center | 1650 45th St S Ste 113, Fargo, ND 58103-3247 | 2018-04-13 |
| 1245526201 | All Seasons Full Body Chiropractic Center LLC | Clinic/Center | 1102 43rd St S Ste F, Fargo, ND 58103-2099 | 2011-06-28 |
| 1255623187 | Sanford Clinic North | Clinic/Center | 4420 37th Ave S, Fargo, ND 58104-3400 | 2011-05-11 |
| 1619119591 | Midgarden Family Clinic PC | Clinic/Center | 503 Park St W, Park River, ND 58270-4103 | 2009-03-24 |
| 1912155151 | Center for Healing and Wholeness | Clinic/Center | 117 N Washington St, Grand Forks, ND 58203-3450 | 2008-08-29 |
| 1790942035 | Three Affiliated Tribes | Clinic/Center | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-05-22 |
| 1841464286 | Valley Bariatric & Wellness Clinic | Clinic/Center | 1707 Gold Dr S, Suite 101, Fargo, ND 58103-6413 | 2008-04-16 |
| 1154504967 | Complete Chiropractic PC | Clinic/Center | 101 N Main St, Garrison, ND 58540 | 2007-12-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IAN L GREYBULL.
| 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.