MR. DAVID PAUL SUNDBERG (NPI# 1750693784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750693784 |
| Entity Type | Individual |
| Full Name | MR. DAVID PAUL SUNDBERG |
| Credential | FNP-C |
| Practice Address |
4440 S Washington St - Altru Professional Center Grand Forks ND 58201 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017327700 |
| Practice Fax Number | 2187454215 |
| Mailing Telephone | 7017801891 |
| Mailing Fax Number | 2187454215 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R30105 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R 143972-2 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255360244 | Krishna C. Gurram | Internal Medicine | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2006-07-02 |
| 1164804993 | Bethany Ann Knox | Physician Assistant | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2015-06-29 |
| 1730560319 | Daniel Hesse | Orthopaedic Surgery | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2015-06-09 |
| 1467866467 | Patrick Ryan Walsh | Family Medicine | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2014-06-17 |
| 1518212893 | Landon James Karren | Ophthalmology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201-7245 | 2012-07-23 |
| 1225390875 | Diane M Voeller | Family Medicine | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2012-06-11 |
| 1619290590 | Wade Alexander Olson | Nurse Practitioner | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2010-03-08 |
| 1497982169 | Jennifer Lea Hodny | Physician Assistant | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2009-06-19 |
| 1881886497 | Jeremy John Gardner | Orthopaedic Surgery | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-08-16 |
| 1063619237 | Adam Foster Nicholson | Urology | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2007-06-29 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427204346 | Amy Lynn Knutson Shimek | Nurse Practitioner | 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, ND 58201-4049 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822455 | Erin Eliza Lubitz | Nurse Practitioner | 3304 23rd Ave S, Fargo, ND 58103-6281 | 2020-08-18 |
| 1699385005 | Brea Anne Hagen | Nurse Practitioner | 90 Division St Nw, Mandan, ND 58554-2099 | 2020-08-01 |
| 1295335727 | Amber Thomas | Nurse Practitioner | 1001 Gateway Ave, Bismarck, ND 58503-0508 | 2020-10-26 |
| 1568877827 | Eric J Lutzwick | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-06-25 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on MR. DAVID PAUL SUNDBERG.
| 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.