CHAD BLAKE CARLSON (NPI# 1588873186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588873186 |
| Entity Type | Individual |
| Full Name | CHAD BLAKE CARLSON |
| Credential | MD |
| Practice Address |
310 N 9th St Bismarck ND 58501-4515 |
| Practice Telephone | (701) 530-8800 |
| Practice Fax Number | 7017514550 |
| Mailing Telephone | (701) 530-8800 |
| Mailing Fax Number | 7017514550 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 11836 | ND | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111793 | Chad Carlson | Physical Therapist | 730 Thimble Shoals Blvd, Suite 130, Newport News, VA 23606-4562 | 2016-01-04 |
| 1235247669 | Chad Carlson | Psychiatry & Neurology | 9200 W Wisconsin Ave, Department of Neurology, Milwaukee, WI 53226-3522 | 2006-08-27 |
| 1326008368 | Chad Thomas Carlson | Neuromusculoskeletal Medicine, Sports Medicine | 6000 University Ave, Suite 250, West Des Moines, IA 50266-8203 | 2006-03-24 |
| Street Address |
310 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842154 | Duncan B Ackerman | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2005-12-15 |
| 1194367250 | Erin House | Physical Therapist | 310 N 9th St, Bismarck, ND 58501-4515 | 2019-10-10 |
| 1114589405 | Shacara Pratt | Specialist/Technologist | 310 N 9th St, Bismarck, ND 58501-4515 | 2019-07-08 |
| 1255734588 | Miranda Huffman | Physical Therapist | 310 N 9th St, Bismarck, ND 58501-4515 | 2014-10-01 |
| 1740575851 | Brock Norrie | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2011-06-16 |
| 1184916850 | Kellee A Hollenbeck | Nurse Practitioner | 310 N 9th St, Bismarck, ND 58501-4515 | 2011-05-12 |
| 1801104039 | Nicole Frank | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4515 | 2010-09-22 |
| 1194957019 | Erica F Mittleider | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4508 | 2009-08-11 |
| 1235398900 | Shauna R Norrie | Occupational Therapist | 310 N 9th St, Bismarck, ND 58501-4515 | 2008-06-06 |
| 1609938182 | Coleen Staloch | Physician Assistant | 310 N 9th St, Bismarck, ND 58501-4508 | 2006-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598854085 | Raymond Gruby | Orthopaedic Surgery | 1120 College Dr Ste 100, Bismarck, ND 58501-1225 | 2006-10-12 |
| 1144240532 | Ian C Fyfe | Orthopaedic Surgery | 225 N 7th St, Bismarck, ND 58501-4417 | 2006-07-20 |
| 1750307872 | Bone & Joint Center PC | Orthopaedic Surgery | 310 N 9th St., Bismarck, ND 58501-4508 | 2006-07-14 |
| 1508842154 | Duncan B Ackerman | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2005-12-15 |
| 1598105934 | Kurt Icenogle Sr. | Orthopaedic Surgery | 225 N 7th St, Bismarck, ND 58501-4417 | 2013-06-30 |
| 1740575851 | Brock Norrie | Orthopaedic Surgery | 310 N 9th St, Bismarck, ND 58501-4515 | 2011-06-16 |
| 1659500718 | Brian Dahl | Orthopaedic Surgery | 310 N 9th Street, Bismarck, ND 58501-1397 | 2009-07-10 |
| 1538397070 | Derrick Cote | Orthopaedic Surgery | 310 N 9th Street, Bismarck, ND 58501 | 2009-06-23 |
| 1154532547 | Matthew Richard Carpenter | Orthopaedic Surgery | 225 N 7th St, Bismarck, ND 58501-4417 | 2007-05-25 |
| 1982796892 | Laura Marie Bruse | Orthopaedic Surgery | 225 N 7th St, Bismarck, ND 58501-4417 | 2006-09-28 |
| Find all providers in BISMARCK | ||||
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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.