MYRA J QUANRUD


Address: 401 3rd St Se, Jamestown, ND 58401-4247
Phone: 7012535300

MYRA J QUANRUD (NPI# 1598705758) 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) 1598705758
Entity Type Individual
Full Name MYRA J QUANRUD
Other Name MYRA J HENNESSEY
Credential MD
Practice Address 401 3rd St Se
Jamestown
ND 58401-4247
Practice Telephone 7012535300
Practice Fax Number 7012535402
Mailing Telephone 7012535300
Mailing Fax Number 7012535402
Enumeration Date 2006-06-07
Last Update Date 2011-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 70000 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND MNBS # 00A25QU 01
ND 772827100 05
ND MEDICA # 1201183 01
ND NDBS # 14494 01
ND MNBS # 5T219QU 01
ND HEALTHPARTNERS # HP19572 01
ND NDBS # 12426 01
ND RR MEDICARE # 370020540 01
ND AMERICA'S PPO/ARAZ # 908075 01
ND UCARE # 142318 01
ND LHS # ND100023 01
ND 18047 05
ND PREFERRED ONE # DA9061015621 01

Office Location

Street Address 401 3RD ST SE
City JAMESTOWN
State ND
Zip Code 58401-4247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336190693 Dakota Clinic, Ltd. Family Medicine 401 3rd St Se, Jamestown, ND 58401-4247 2006-05-12
1225292311 Barbara J Mickelson Nurse Practitioner 401 3rd St Se, Jamestown, ND 58401-4247 2008-07-17
1700043528 Benjamin Felty Podiatrist 401 3rd St Se, Jamestown, ND 58401-4247 2008-05-20
1235298928 Dakota Clinic Ltd Durable Medical Equipment & Medical Supplies 401 3rd St Se, Jamestown, ND 58401-4247 2006-12-08
1740359884 Dakota Clinic, Ltd Dietitian, Registered 401 3rd St Se, Jamestown, ND 58401-4247 2006-11-06
1326057043 Angel Dawn Overvold Family Medicine 401 3rd St Se, Jamestown, ND 58401-4247 2006-08-05
1326064015 Anson Li Surgery 401 3rd St Se, Jamestown, ND 58401-4247 2006-07-14
1316986649 James R Torrance Family Medicine 401 3rd St Se, Jamestown, ND 58401-4247 2006-06-05
1619915998 Scott C Rowe Family Medicine 401 3rd St Se, Jamestown, ND 58401-4247 2006-06-02
1023063815 Sharon A Schloegel Nutritionist 401 3rd St Se, Jamestown, ND 58401-4247 2006-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343737 Face and Jaw Surgeons PC Dentist 1517 12 Ave Ne, Jamestown, ND 58401 2020-10-16
1194216481 Richard Yonick Case Manager/Care Coordinator South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 2018-05-23
1831607910 Creative Journey, LLC Clinic/Center 429 2nd St Sw Ste 205, Jamestown, ND 58401 2018-01-11
1619399334 Stutsman County Social Services Case Manager/Care Coordinator 116 1st Street East, Jamestown, ND 58401 2014-01-15
1073945176 Sarah Walker Pharmacist 410 10th Street Se, Suite 8, Jamestown, ND 58401 2013-07-31
1811339369 Yvette D Patrick Occupational Therapist 207 2nd Avenue Se, Jamestown, ND 58401 2013-07-25
1144582933 Anne Carlsen Center Intermediate Care Facility, Mentally Retarded 701 3rd Steeet Nw, Jamestown, ND 58401 2012-06-08
1407008360 Jacob Dale Reinarts Counselor 2504 Circle Dr # 58401, Jamestown, ND 58401 2008-10-22
1548426430 Shipley Basic Care Alzheimer Center (Dementia Center) 1505 3 St Se, Jamestown, ND 58401 2008-07-31
1831384445 Drake Counseling Services Clinic/Center 1210 13th Ave Sw, Jamestown, ND 58401 2007-09-07
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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
1427211762 Deepa Nayak Pediatrics 1236 Guilford College Road, Suite 117, Jamestown, NC 27282-9875 2008-07-07
1396716908 Jerzy Przygodzki Pediatrics 816 Fairmount Ave, Jamestown, NY 14701-2519 2006-01-31
1922002906 Tariq Mahmood Khan Pediatrics 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 2005-06-08
1851934491 Kaitlin Marie Walsh Pediatrics 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 2019-10-28
1871778308 Maria Isabel Diaz Pediatrics 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 2008-01-03
1669409371 Erika Mclean Pediatrics 207 Foote Ave, Jamestown, NY 14701-7077 2006-06-27
1164486627 Jamestown Pediatric Associates, LLP Pediatrics 816 Fairmount Ave, Jamestown, NY 14701-2519 2006-04-13
1144291576 Lynn Dunham Pediatrics 816 Fairmount Ave, Jamestown, NY 14701-2519 2006-02-01
1285605725 Barbara J Robinson Pediatrics 816 Fairmount Ave, Jamestown, NY 14701-2519 2006-02-01
1972574598 Barbara Mincarelli Pediatrics 816 Fairmount Ave, Jamestown, NY 14701-2519 2006-01-31
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Competitor

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City JAMESTOWN
Zip Code 58401

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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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