JANICE M NICKLAY CATALAN


Address: 801 Broadway N, Fargo, ND 58102-3641
Phone: 7012345997

JANICE M NICKLAY CATALAN (NPI# 1548321953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548321953
Entity Type Individual
Full Name JANICE M NICKLAY CATALAN
Credential MD
Practice Address 801 Broadway N
Fargo
ND 58102-3641
Practice Telephone 7012345997
Practice Fax Number 7012347380
Mailing Telephone 7012345997
Mailing Fax Number 7012347380
Enumeration Date 2006-12-12
Last Update Date 2011-11-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
10066 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICA 4700222 01
MN MA 701977700 01
HEALTHPARTNERS HP55687 01
PREFERREDONE 1045534 01
ND BCBS 25983 01
ND 13570 05
MN MN BCBS 371G0CA 01

Office Location

Street Address 801 BROADWAY N
City FARGO
State ND
Zip Code 58102-3641

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528062924 Mark F Fisher Radiology 801 Broadway N, Fargo, ND 58102-3641 2005-06-13
1942809652 Morgan Margaret Borud Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2020-10-22
1790392462 Katie Thielges Nurse Practitioner 801 Broadway N, Fargo, ND 58102-3641 2020-09-28
1063022432 Lindsey Schmidt Genetic Counselor, MS 801 Broadway N, Fargo, ND 58102-3641 2020-07-31
1336766161 Yesha Shukla Family Medicine 801 Broadway N, Fargo, ND 58102-3641 2020-06-27
1891310850 Samantha Mimi Chang Family Medicine 801 Broadway N, Fargo, ND 58102-3641 2020-06-15
1528683224 Briana Lee Gebert-oberle Student in an Organized Health Care Education/Training Program 801 Broadway N, Fargo, ND 58102-3641 2020-06-09
1689296931 Jillian Virginia Schommer Student in an Organized Health Care Education/Training Program 801 Broadway N, Fargo, ND 58102-3641 2020-05-09
1194344036 Sarah Rose Carpenter Genetic Counselor, MS 801 Broadway N, Fargo, ND 58102-3641 2020-04-10
1346871258 Randall Hagemeister Nurse Anesthetist, Certified Registered 801 Broadway N, Fargo, ND 58102-3641 2020-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780285924 Shelley Dene Townsend-hansen Dentist 1017 Broadway N, Fargo, ND 58102 2020-11-04
1275190779 Anthony Joseph Duncan Student in an Organized Health Care Education/Training Program 1919 Elm Streent North, Fargo, ND 58102 2019-05-21
1003472317 Sadie Marie Nelson Nurse Practitioner Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 2019-05-13
1124523576 Christopher Peroutka Specialist/Technologist 1300 17th Ave N, Fargo, ND 58102 2018-03-28
1205331873 Nathan Koens Specialist/Technologist 1300 17th Avenue North, Fargo, ND 58102 2018-03-27
1376063370 Abby Nicole Fredrickson Student in an Organized Health Care Education/Training Program 1919 Elm Street North, Fargo, ND 58102 2017-06-21
1780118331 Stephanie Melquist Internal Medicine Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 2017-04-19
1104215623 Justin Lervik Social Worker 211 Elm St. N, 122, Fargo, ND 58102 2015-01-21
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1821431206 Lanell Staroba Pharmacist 706 D 38th St, Fargo, ND 58102 2013-04-16
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952665838 Brianna Cordelia Leigh Pediatrics 5225 23rd Ave S, Fargo, ND 58104 2012-06-26
1346535218 Samuel Oyewole Ajayi Pediatrics 3000 32nd Ave S, Fargo, ND 58103-6132 2011-06-18
1659696896 Steffany Kate Moen Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2010-03-31
1568612968 Mohamed W Mohamed Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2008-09-23
1205857422 Lina Sapiegiene Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-07-22
1487672184 William M Bellas Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-07-18
1720006307 Stephen N Nelson Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-07-18
1770500761 Waseem Altaf Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-07-16
1699707794 Pawel A Zieba Pediatrics 3000 32nd Ave S, Fargo, ND 58103-6132 2006-07-07
1770558033 James Hocker Pediatrics 3000 32nd Ave S, Fargo, ND 58103-6132 2006-02-21
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Competitor

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City FARGO
Zip Code 58102

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Dataset Information

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.

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