DR. DURGA PRASAD PANDA


Address: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201
Phone: 7017806000

DR. DURGA PRASAD PANDA (NPI# 1609073915) 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) 1609073915
Entity Type Individual
Full Name DR. DURGA PRASAD PANDA
Credential MD
Practice Address 1200 S Columbia Rd - Altru Hospital
Grand Forks
ND 58201
Mailing Address 2401 Demers Ave
Grand Forks
ND 58201
Practice Telephone 7017806000
Mailing Telephone 7017801891
Enumeration Date 2007-06-29
Last Update Date 2019-05-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
11183 ND Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ND 1456857 05

Office Location

Street Address 1200 S COLUMBIA RD - ALTRU HOSPITAL
City GRAND FORKS
State ND
Zip Code 58201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952341026 Curtis C Krueger Nurse Anesthetist, Certified Registered 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2006-06-07
1679024335 Amy Feller Occupational Therapist 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2016-10-18
1083074173 Monica A. Lamm Physician Assistant 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2016-03-02
1174981831 Tiffany Joy Eblen Nurse Anesthetist, Certified Registered 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2016-02-09
1952798183 Leah Ista Emergency Medicine 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2015-04-27
1346632874 Jamie Greicar Nurse Anesthetist, Certified Registered 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2015-02-20
1467877506 Leanna Lauer Nurse Anesthetist, Certified Registered 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2014-02-26
1508289794 John Michael Mikkelsen Nurse Anesthetist, Certified Registered 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2014-01-24
1912347949 Julie Ann Loiland Nurse Practitioner 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2013-07-05
1417397324 Kayla Rae Odegard Tiberio Emergency Medicine 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 2013-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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/certification
- 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
1629270608 Mohammad Amin Adie Pediatrics 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 2007-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457797011 Patricia Lynn Watkins Pediatrics 222 N 7th St, Bismarck, ND 58501-4436 2013-05-22
1952665838 Brianna Cordelia Leigh Pediatrics 5225 23rd Ave S, Fargo, ND 58104 2012-06-26
1346535218 Samuel Oyewole Ajayi Pediatrics 3000 32nd Ave S, Fargo, ND 58103-6132 2011-06-18
1659696896 Steffany Kate Moen Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2010-03-31
1568612968 Mohamed W Mohamed Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2008-09-23
1548321953 Janice M Nicklay Catalan Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-12-12
1578648325 Mahesh N Patel Pediatrics 900 E Broadway Ave, Bismarck, ND 58501-4520 2006-10-26
1821180282 Karen R Brown Pediatrics 900 E Broadway Ave, Bismarck, ND 58501-4520 2006-09-29
1205857422 Lina Sapiegiene Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-07-22
1487672184 William M Bellas Pediatrics 801 Broadway N, Fargo, ND 58102-3641 2006-07-18
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Competitor

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City GRAND FORKS
Zip Code 58201

Improve Information

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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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