CHARLES S WINJUM (NPI# 1477583086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477583086 |
| Entity Type | Individual |
| Full Name | CHARLES S WINJUM |
| Credential | MD |
| Practice Address |
102 Sather Dr Fosston MN 56542-1531 |
| Mailing Address |
Po Box 506 Fosston MN 56542-0506 |
| Practice Telephone | 2184351212 |
| Practice Fax Number | 2218435130 |
| Mailing Telephone | 2184351212 |
| Mailing Fax Number | 2184351302 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31170 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LHS # | MN100018 | 01 |
| MN | UCARE # | 116153 | 01 |
| MN | NDBS # | 26610 | 01 |
| MN | MNBS # | 5T073WI | 01 |
| MN | PREFERRED ONE # | DA9071015707 | 01 |
| MN | MEDCIA # | 0123282 | 01 |
| MN | PREFERRED ONE # | DA9021015707 | 01 |
| MN | MNBS # | 054H4WI | 01 |
| MN | HEALTHPARNTERS # | HP20444 | 01 |
| MN | MEDICA # | 0105958 | 01 |
| MN | NDBS # | 12540 | 01 |
| MN | ND MEDICAID | 17708 | 01 |
| MN | AMERICIA'S PPO/ARAZ # | 915965 | 01 |
| Street Address |
102 SATHER DR |
| City | FOSSTON |
| State | MN |
| Zip Code | 56542-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639120983 | Dakota Clinic, Ltd. | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-05-12 |
| 1144389834 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-12-08 |
| 1215006424 | Dakota Clinic, Ltd. | Registered Nurse | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-11-06 |
| 1174559611 | Corinne A Dargus | Physician Assistant | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-06-25 |
| 1962447656 | Wesley O Ofstedal | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114497773 | Bethany Board and Lodge, Inc | Assisted Living Facility | 203 S Inderlee Ave, Fosston, MN 56542 | 2018-11-27 |
| 1942756556 | Bethany Board and Lodge, Inc | Assisted Living Facility | 903 Hilligoss Blvd Se Suite B, Fosston, MN 56542 | 2016-09-01 |
| 1407268642 | Prairie Pines Community | Assisted Living Facility | 903 Praire Pines Drive, Fosston, MN 56542 | 2014-05-22 |
| 1992115737 | Ekenesenarienrien Cynthia Omokaro | Family Medicine | Essentia Health Fosston Clinic, 900 Hilligoss Blvd. Se, Fosston, MN 56542 | 2014-05-02 |
| 1093944456 | Steven G. Lesmeister | Dentist | 105 2nd Street Sw, Mcintosh, MN 56542 | 2009-07-07 |
| 1427122811 | Kristi Lea Widseth | Nurse Anesthetist, Certified Registered | 900 Hilligoss Boulevard Se, Essentia Health Fosston, Fosston, MN 56542 | 2006-11-20 |
| 1184709685 | Todd William Sandwick | Dentist | 418 1st St. W., Fosston, MN 56542 | 2006-10-25 |
| 1487739975 | Kurt Anthony Albright | Dentist | 201 Hillestad Ave. Ne, Fosston, MN 56542 | 2006-10-25 |
| 1376033357 | Mallory Alice Vig | Occupational Therapist | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| 1558851543 | Nicholas Chandler Woods | Nurse Practitioner | 900 Hilligoss Blvd Se, Fosston, MN 56542 | 2018-05-15 |
| Find all providers in zip 56542 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992115737 | Ekenesenarienrien Cynthia Omokaro | Family Medicine | Essentia Health Fosston Clinic, 900 Hilligoss Blvd. Se, Fosston, MN 56542 | 2014-05-02 |
| 1639120983 | Dakota Clinic, Ltd. | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-05-12 |
| 1457791725 | Cheryl White | Family Medicine | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2013-07-01 |
| 1962447656 | Wesley O Ofstedal | Family Medicine | 102 Sather Dr, Fosston, MN 56542-1531 | 2006-06-18 |
| 1912942566 | Darren D Swanson | Family Medicine | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES S WINJUM.
| 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.