DR. CYRIL ETTA TABE (NPI# 1558457135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558457135 |
| Entity Type | Individual |
| Full Name | DR. CYRIL ETTA TABE |
| Credential | MD |
| Practice Address |
101 3rd Ave Sw Minot ND 58701-3880 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018573655 |
| Practice Fax Number | 7018573656 |
| Mailing Telephone | 7018575650 |
| Mailing Fax Number | 7018575031 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 10459 | ND | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD2009-0696 | NM | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | C145282 | CA | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 282203 | NY | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10459 | ND | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD2009-069 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 14089 | 05 | |
| NM | 18307230 | 05 |
| Street Address |
101 3RD AVE SW |
| City | MINOT |
| State | ND |
| Zip Code | 58701-3880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551422 | Ravindra P Joshi | Orthopaedic Surgery | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2005-07-13 |
| 1902414832 | Kelsey Artz | Audiologist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2020-07-16 |
| 1437711272 | Kristin Anne Talbot | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2019-07-02 |
| 1750947776 | Cory Tumberg | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2019-05-15 |
| 1609431147 | Alycia Nicole Coutts | Nurse Practitioner | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2019-05-09 |
| 1184104986 | Kaari Burbach | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2018-08-21 |
| 1093216061 | Jessalyn Joy Kleinsasser | Occupational Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2018-02-26 |
| 1932612090 | Allison Ramos | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2017-11-13 |
| 1578082657 | Elizabeth Erin Graper | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2017-09-11 |
| 1679092795 | Sierra Lynn Beardsworth | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2017-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538247721 | Martin L Rothberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 20 Burdick Expy W, Minot, ND 58701-4498 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295823425 | Boyd C Marts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 N. 10th St., Bismarck, ND 58501-4516 | 2006-10-11 |
| 1780663260 | James O Wright IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 S Columbia Rd., Grand Forks, ND 58201-4012 | 2006-01-12 |
| 1073506648 | Randy K Metcalf | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2005-08-29 |
| 1932290947 | Patrick M Devig | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2006-09-27 |
| 1568562098 | Allen Michael Booth | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-24 |
| 1043310964 | Edward Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-22 |
| 1932133543 | Nader B Tadros | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-10 |
| 1902830425 | Jeffrey I Knutson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-10 |
| 1144250226 | Barry A Bjorgaard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-07-04 |
| 1497715064 | Edward R Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-03-27 |
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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.