DR. ALISA T MITSKOG (NPI# 1578598587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578598587 |
| Entity Type | Individual |
| Full Name | DR. ALISA T MITSKOG |
| Credential | DC |
| Practice Address |
319 11th St N Wahpeton ND 58075-4111 |
| Mailing Address |
1001 2nd Ave N Wahpeton ND 58075-4309 |
| Practice Telephone | 7016426480 |
| Practice Fax Number | 7016426011 |
| Mailing Telephone | 7016426444 |
| Mailing Fax Number | 7016426011 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
500 | ND | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 17175 | 05 | |
| MN | 922509900 | 05 |
| Street Address |
319 11TH ST N |
| City | WAHPETON |
| State | ND |
| Zip Code | 58075-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184923179 | Alisa T Mitskog, P.C. | Clinic/Center | 319 11th St N, Wahpeton, ND 58075-4111 | 2011-03-16 |
| 1427171636 | Valley Spine Center, Inc. | Chiropractor | 319 11th St N, Wahpeton, ND 58075-4111 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1538385844 | Michelle Catherine Stach | Physical Therapy Assistant | 1307 4 Ave North, Wahpeton, ND 58075 | 2007-04-17 |
| 1881717122 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 1348 15th Av N, Wahpeton, ND 58075 | 2007-04-10 |
| 1972626216 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 821 Western Rd, Wahpeton, ND 58075 | 2007-04-10 |
| 1700908589 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 348 14th St N, Wahpeton, ND 58075 | 2007-04-04 |
| 1275626053 | Richland County | Public Health or Welfare | 413 3rd Avenue North, Wahpeton, ND 58075 | 2006-10-02 |
| 1962503896 | Brian James Quamme | Dentist | 910 16th Ave N, Wahpeton, ND 58075 | 2006-09-25 |
| 1083720114 | Judith Kay Schmidt | Dentist | 2005 Woodland Drive, Wahpeton, ND 58075 | 2006-08-22 |
| 1891240354 | Concept Dentistry PC | Dentist | 1999 4th St N, Wahpeton, ND 58075 | 2016-08-24 |
| 1255704318 | Mandy Naumann | Physical Therapist | 332 2nd Ave N, Wahpeton, ND 58075 | 2015-11-10 |
| Find all providers in zip 58075 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811147325 | Timothy W Stark | Chiropractor | 715 13th Ave E, Suite 101, West Fargo, ND 58078-3380 | 2008-09-22 |
| 1144390998 | Ficek Chiropractic, PC | Chiropractor | 820 2nd Ave. W, New England, ND 58647-0462 | 2006-11-09 |
| 1992881205 | Sherri Ann Armitage | Chiropractor | 509 2nd St W, Edgeley, ND 58433-0074 | 2006-10-29 |
| 1740234947 | Robert J Purcell | Chiropractor | 623 10th St Se, Jamestown, ND 58401-5546 | 2006-05-20 |
| 1558343707 | Bradley D Kraft | Chiropractor | 212 S Broadway, Suite #4, Minot, ND 58701-3867 | 2005-11-15 |
| 1396824017 | Ficek Chiropractic, PC | Chiropractor | 562 1/2 12th St. W, Dickinson, ND 58601-3509 | 2006-11-03 |
| 1598849184 | Dion S. Ficek | Chiropractor | 562 1/2 12th St. W, Dickinson, ND 58601-3509 | 2006-10-24 |
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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.