INNOVIS HEALTH LLC (NPI# 1578907267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578907267 |
| Entity Type | Organization |
| Organization Name | INNOVIS HEALTH LLC |
| Other Organization Name | ESSENTIA HEALTH MEDINA CLINIC |
| Practice Address |
600 Water St E Medina ND 58467 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7014863550 |
| Practice Fax Number | 7014863496 |
| Mailing Telephone | 7013643300 |
| Mailing Fax Number | 7013648906 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | GREGORY C GLASNER (PRESIDENT & CMO) |
| Authorized Official Telephone | 7013648000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ESSENTIA HEALTH MBR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 14510 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Medina Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164972410 | Innovis Health LLC | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 2016-10-11 |
| 1790235042 | Innovis Health LLC | Family Medicine | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2016-10-11 |
| 1144776576 | Innovis Health LLC | Optometrist | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 | 2016-08-26 |
| 1164978599 | Innovis Health LLC | Family Medicine | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2016-08-26 |
| 1568918902 | Innovis Health LLC | Family Medicine | 1100 19th Ave N, Suite L & M, Fargo, ND 58102-5906 | 2016-08-26 |
| 1780043257 | Innovis Health LLC | Clinic/Center | 4110 51st Ave S, Fargo, ND 58104-7776 | 2016-02-12 |
| 1750725743 | Innovis Health LLC | Family Medicine | 501 Main Ave S, Hankinson, ND 58041-4108 | 2013-04-22 |
| 1114361177 | Innovis Health LLC | Family Medicine | 5 9th Ave N, Casselton, ND 58012-3339 | 2013-04-22 |
| 1578907655 | Innovis Health LLC | Family Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2013-04-19 |
| 1437495264 | Innovis Health LLC | Family Medicine | 3902 13th Ave S, Fargo, ND 58103-3357 | 2012-12-26 |
| Street Address |
600 WATER ST E |
| City | MEDINA |
| State | ND |
| Zip Code | 58467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851439939 | Medina Ambulance Service | Ambulance | 107 College St Sw, Medina, ND 58467 | 2007-02-02 |
| 1467406181 | Dakota Clinic, Ltd. | Family Medicine | 600 Water Street E, Medina, ND 58467 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
| 1912507005 | Gina Hunter | Home Health Aide | 249 Granger Rd Unit 88, Medina, OH 44256-7363 | 2020-10-28 |
| 1013517408 | Ruth Marie Hlasko | Private Vehicle | 651 Sturbridge Dr Unit 2, Medina, OH 44256-4381 | 2020-10-27 |
| 1275132813 | Angela Marotta | Home Health Aide | 4267 Erhart Rd, Medina, OH 44256-8976 | 2020-10-24 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1770181661 | Sonya Carol Goodrich | Social Worker | 320 Spring Creek Hwy, Medina, TN 38355-9779 | 2020-10-13 |
| 1164029377 | Haley Irene Sampsel | Nurse Practitioner | 3929 Barrington Dr, Medina, OH 44256-5950 | 2020-10-01 |
| 1154938694 | Medina Creative Accessibility | Day Training, Developmentally Disabled Services | 224 N Court St, Medina, OH 44256-1980 | 2020-09-29 |
| 1134736176 | Kathi P Patrick | Adult Companion | 5619 Wolff Rd, Medina, OH 44256-9485 | 2020-09-24 |
| 1326654476 | Molly Lynn Davis | Nurse Practitioner | 875 Smokerise Dr, Medina, OH 44256-2775 | 2020-09-23 |
| Find all providers in MEDINA | ||||
| 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 |
|---|---|---|---|---|
| 1376881144 | Advanced Spine Joint and Wellness Center | Family Medicine | 5020 Victor Dr, Medina, OH 44256-9688 | 2013-01-29 |
| 1295969640 | William Denny Robertson | Family Medicine | 970 East Washington St, Suite 301, Medina, OH 44256-3332 | 2009-05-13 |
| 1053572560 | Andrew Chema | Family Medicine | 3780 Medina Rd Ste 310, Medina, OH 44256-9312 | 2008-06-18 |
| 1316148299 | Francine Marie Terry | Family Medicine | 5501 Beach Rd, Medina, OH 44256-8103 | 2007-05-30 |
| 1023132883 | John William Gillota | Family Medicine | 2614 Remsen Road, Medina, OH 44256 | 2007-03-19 |
| 1700958964 | Ann Marie Stuart Md LLC | Family Medicine | 970 E Washington Street, Ste 5a, Medina, OH 44256 | 2006-11-14 |
| 1245266402 | Tomas Almonte Madrilejos | Family Medicine | 930 E Washington St, Medina, OH 44256-2130 | 2006-06-22 |
| 1790723997 | Michael Talkar | Family Medicine | 4001 Carrick Dr Ste 120, Medina, OH 44256-5385 | 2006-06-02 |
| 1467406181 | Dakota Clinic, Ltd. | Family Medicine | 600 Water Street E, Medina, ND 58467 | 2006-05-19 |
| 1427029248 | Lisa M Esterle | Family Medicine | 807 E Washington St, Stuie 150, Medina, OH 44256-3338 | 2006-01-30 |
| Find all providers in MEDINA | ||||
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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.