UNIVERSITY OF NORTH DAKOTA


Address: 515 E Broadway Ave, Bismarck, ND 58501-4407
Phone: 7013289950

UNIVERSITY OF NORTH DAKOTA (NPI# 1649469255) 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) 1649469255
Entity Type Organization
Organization Name UNIVERSITY OF NORTH DAKOTA
Other Organization Name CENTER FOR FAMILY MEDICINE
Practice Address 515 E Broadway Ave
Bismarck
ND 58501-4407
Practice Telephone 7013289950
Practice Fax Number 7013289957
Mailing Telephone 7013289950
Mailing Fax Number 7013859957
Enumeration Date 2007-10-19
Last Update Date 2007-10-19
Authorized Official Name DR. JEFFREY E. HOSTETTER (PROGRAM DIRECTOR)
Authorized Official Telephone 7013289950
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center ND Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Center for Family Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013032663 University of North Dakota Clinic/Center 501 N Columbia Rd Stop 9037, Room 5918 Medical School, Grand Forks, ND 58202-9037 2007-03-20
1619905528 University of North Dakota Family Medicine 701 E. Rosser Ave., Bismarck, ND 58501-4461 2006-06-29
1790762318 University of North Dakota Pharmacy 2891 2nd Ave N Stop 9038, Mccannel Hall Rm 100, Grand Forks, ND 58202-9038 2005-12-23
1952969099 University of North Dakota Counselor 501 N Columbia Rd Stop 7132, Grand Forks, ND 58203-2817 2019-06-04
1538428610 University of North Dakota Pharmacy 701 E Rosser Ave, Bismarck, ND 58501-4461 2012-05-10
1093910762 University of North Dakota Audiologist 290 Centennial Dr, Montgomery Hall Room 101, Grand Forks, ND 58202-6063 2007-06-20
1982734042 University of North Dakota Pharmacist 1201 11th Ave Sw, Minot, ND 58701-4207 2007-03-07
1215080437 University of North Dakota Clinic/Center 2751 2nd Ave N Stop 9013, Hyslop Sports Center Room 115, Grand Forks, ND 58202-9013 2007-01-19
1316008238 University of North Dakota Family Medicine 1201 11th Ave Sw, Minot, ND 58701-4207 2006-12-13

Other Data Sources

Entity Type Entity Name Entity Address
Oklahoma Business Registrations UNIVERSITY OF NORTH DAKOTA FOUNDATION 3100 University Ave Stop 8157, Grand Forks, ND 58202

Office Location

Street Address 515 E BROADWAY AVE
City BISMARCK
State ND
Zip Code 58501-4407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073719399 Jennifer Amber Beckwith Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4407 2007-06-24
1104307362 Brandi Jo Schmidt Counselor 515 E Broadway Ave, Bismarck, ND 58501-4407 2018-08-27
1114461340 Connie Jo Kadrmas Nurse Practitioner 515 E Broadway Ave, Bismarck, ND 58501 2016-12-07
1922485531 Daniel Field Internal Medicine 515 E Broadway Ave, Bismarck, ND 58501-4407 2015-05-04
1720413966 Erin M Schwinkendorf Nurse Practitioner 515 E Broadway Ave, Bismarck, ND 58501-4407 2013-09-06
1215248547 Sally Gean Frank Nurse Practitioner 515 E Broadway Ave, Bismarck, ND 58501-4407 2010-07-01
1740501386 Dara Schroeder Nurse Practitioner 515 E Broadway Ave, Bismarck, ND 58501-4407 2010-06-17
1265685432 Jessica A. Carlson Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4407 2008-10-31
1659550549 Ravi Kukreja Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4491 2007-10-29
1164601050 Richa Kauskik Family Medicine 515 E Broadway Ave, Bismarck, ND 58501-4491 2007-10-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316580343 Moos Family Chiropractic LLC Clinic/Center 517 S 5th St, Bismarck, ND 58504-5702 2019-10-22
1225503972 Central Dakota Forensic Nurse Examiners Clinic/Center 1929 N Washington St Ste W, Bismarck, ND 58501-1616 2018-10-09
1194095331 R&r Chiropractic PC Clinic/Center 4903 Pumice Loop, Bismarck, ND 58503 2012-01-05
1063742864 Sims Creek Chiropractic Clinic/Center 3712 Lockport St Ste B, Bismarck, ND 58503-1220 2009-12-30
1346299336 Medcenter One Inc. Clinic/Center 512 N 7th St, Bismarck, ND 58501-4425 2006-05-08
1174138507 Sontak Family Clinic Pllc Clinic/Center 4023 State St Ste 60, Bismarck, ND 58503-0690 2020-09-11
1538669981 Ideal Option, Pllc Clinic/Center 549 Airport Rd, Bismarck, ND 58504-6107 2018-02-12
1538518857 Bismarck Sports and Spine Clinic/Center 931 S Washington St, Bismarck, ND 58504-5463 2016-06-07
1699129205 Vancleave Chiropractic P.C. Clinic/Center 1921 N 13th St, Bismarck, ND 58501-1973 2016-04-20
1568847408 Independent Doctors, P.C. Clinic/Center 4535 Northern Sky Drive, Suite 1, Bismarck, ND 58503 2015-07-21
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Competitor

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City BISMARCK
Zip Code 58501

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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