PHILIP ELIJAH MCRILL (NPI# 1730234451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730234451 |
| Entity Type | Individual |
| Full Name | PHILIP ELIJAH MCRILL |
| Credential | M.D. |
| Practice Address |
1 Minni Tohe Dr New Town ND 58763-4400 |
| Mailing Address |
3710 Sw Us Veterans Hospital Road Portland OR 97239-2964 |
| Practice Telephone | 7016274701 |
| Practice Fax Number | 7016274318 |
| Mailing Telephone | 5032208262 |
| Mailing Fax Number | 5037217942 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 8919 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
1 MINNI TOHE DR |
| City | NEW TOWN |
| State | ND |
| Zip Code | 58763-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396724316 | Arne Leroy Sorenson | Dietitian, Registered | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2006-01-10 |
| 1003261884 | Mha Nation Home Health Care | Registered Nurse | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2016-04-28 |
| 1366755068 | Ramona Marie Danks | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2010-07-22 |
| 1790942035 | Three Affiliated Tribes | Clinic/Center | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-05-22 |
| 1184890162 | Donna Bieri | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-04-30 |
| 1861668840 | Wayne H Marmon | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2008-04-30 |
| 1609062595 | Lois E Zacher | Pharmacist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-09-24 |
| 1649308503 | Suzie F Mesteth | Registered Nurse | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-03-01 |
| 1326176587 | Lawrence Kent Ray | Dentist | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-03-01 |
| 1851428288 | Fort Berthold Ihs Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332337 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 709 E Eagel Dr, New Town, ND 58763 | 2017-12-26 |
| 1225437460 | New Town Health Support Corporation | Assisted Living Facility | 603 1st Street Nw, New Town, ND 58763 | 2014-08-13 |
| 1992099477 | Debbie Joyce Jeanotte | Registered Nurse | 1 Minne-tohe Drive, Minne-tohe Health Center, New Town, ND 58763 | 2011-06-02 |
| 1831365519 | Elbowoods Memorial Health Center | Clinic/Center | 1058 College Drive, New Town, ND 58763 | 2008-05-02 |
| 1467622704 | Tri City Cares, Inc. | PACE Provider Organization | 709 E Eagle Dr, New Town, ND 58763 | 2008-03-03 |
| 1417028978 | Nora M Rasmussen | Nurse Practitioner | 604 1st St N, New Town, ND 58763 | 2006-11-13 |
| 1184133779 | John William Pemberton | Pharmacist | 1058 College Dr, New Town, ND 58763 | 2017-09-26 |
| 1194249417 | Cianna Marie Rabbithead | Counselor | 1058 College Drive, New Town, ND 58763 | 2017-07-28 |
| 1619423308 | Ty Thompson | Counselor | 304 7th St N, New Town, ND 58763 | 2016-09-01 |
| 1508051483 | Traci Weaver | Pharmacy Technician | 334 Main Street, New Town, ND 58763 | 2007-09-13 |
| Find all providers in zip 58763 | ||||
| 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 |
|---|---|---|---|---|
| 1043212749 | Samuel Stuart Johnson | Family Medicine | 1058 College Dr, New Town, ND 58763-9112 | 2005-08-12 |
| 1639192008 | Zane C Rising Sun | Family Medicine | 1058 College Dr, New Town, ND 58763-9112 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068035 | Rory Ratzlaff | Family Medicine | Sanford Health 737 Broadway N, Fargo, ND 58122-0001 | 2018-06-28 |
| 1710472725 | Shabnum Gupta | Family Medicine | Sanford Health 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-22 |
| 1538661384 | Community Uplift Program | Family Medicine | 417 Main Ave Ste 401, Fargo, ND 58103-1956 | 2018-03-07 |
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1417343831 | Ashley Lynn Loughner | Family Medicine | 194 Missle Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2015-04-13 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1982031746 | Turtle Mountain Family Medicine, LLC | Family Medicine | 115 Main Street Ne, Dunseith, ND 58329 | 2013-10-10 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
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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.