GARY L. KARLSTAD (NPI# 1457356099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457356099 |
| Entity Type | Individual |
| Full Name | GARY L. KARLSTAD |
| Credential | M.D. |
| Practice Address |
3035 Demers Ave Grand Forks ND 58201-4018 |
| Practice Telephone | 7017753151 |
| Practice Fax Number | 7017753153 |
| Mailing Telephone | 7017753151 |
| Mailing Fax Number | 7017753153 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4071 | ND | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12809 | 05 | |
| ND | ND BLUE SHIELD | 1801 | 01 |
| Street Address |
3035 DEMERS AVE |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265093124 | Mckenzie Ann Brown | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-06-21 |
| 1568925121 | Alys Seay | Physician Assistant | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-04-10 |
| 1881094928 | Jamie Arola | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2014-08-26 |
| 1346669082 | Yashraj Chauhan | Podiatrist | 3035 Demers Ave, Grand Forks, ND 58201 | 2014-04-09 |
| 1396184123 | Katherine Marie Carson | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201 | 2013-06-14 |
| 1780842963 | Vinita J Parikh | Anesthesiology | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2008-05-24 |
| 1114106820 | John Patrick Eickman | Neurological Surgery | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-10-30 |
| 1891995445 | Esperanza S Argenziano | Internal Medicine | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-07-23 |
| 1346370640 | Achieve Therapy LLC | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-03-06 |
| 1306903729 | Laurie Holte | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-01-03 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366810 | Erin Snyder | Specialist | 4401 S 11th St, Grand Forks, ND 58201-7238 | 2013-01-30 |
| 1255478632 | Sandra L Knudson | Specialist | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2007-02-01 |
| 1245332311 | William Noyes, Md PC | Specialist | 1451 44th Ave S, Unit E, Grand Forks, ND 58201-3434 | 2006-09-01 |
| 1346287554 | Edward L Adams | Specialist | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2006-05-31 |
| 1114977477 | Neil Garrett Powell Jr. | Specialist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2006-05-10 |
| 1689667909 | Michael R Schuster | Specialist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2005-08-23 |
| 1801893490 | Gerald R. Gaul | Specialist | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2005-06-28 |
| 1295731040 | Mark Lee Sczepanski | Specialist | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245629500 | Serenity Therapeutic Equine Program | Specialist | 7580 16th St Sw, Minot, ND 58701-9776 | 2015-01-09 |
| 1952708547 | The Cortino Group Ltd LLC | Specialist | 2400 10th St Sw Ste 418, Minot, ND 58701-6997 | 2014-11-25 |
| 1811392657 | Beth Schaible | Specialist | 4152 30th Ave S Ste 102, Fargo, ND 58104-8403 | 2014-10-22 |
| 1992113203 | Tara Marie Jaeger | Specialist | 3491 University Dr S, Fargo, ND 58104-6225 | 2014-07-30 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1427329069 | Joshua D Lindsey | Specialist | 3303 23rd Ave S, Fargo, ND 58103-6277 | 2012-01-12 |
| 1104195791 | Amy Leitner | Specialist | 1001 Gateway Ave, Bismarck, ND 58503-0508 | 2011-12-28 |
| 1437460094 | In Touch Massage & Wellness | Specialist | 1709 N 8th St, Bismarck, ND 58501-1825 | 2010-06-29 |
| 1427284132 | Angelia M Saner | Specialist | 123 W Rosser Ave, Bismarck, ND 58501-3751 | 2009-06-09 |
| 1053555680 | Brita Lynn Duval | Specialist | 220 8th St N, New Rockford, ND 58356-1509 | 2009-04-27 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on GARY L. KARLSTAD.
| 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.