LUTHERAN CHARITY ASSOCIATION (NPI# 1821044652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821044652 |
| Entity Type | Organization |
| Organization Name | LUTHERAN CHARITY ASSOCIATION |
| Other Organization Name | JAMESTOWN REGIONAL MEDICAL CENTER PHYSICIAN GROUP |
| Practice Address |
2422 20th St Sw Jamestown ND 58401-6201 |
| Practice Telephone | 7012521050 |
| Practice Fax Number | 7019523265 |
| Mailing Telephone | 7012521050 |
| Mailing Fax Number | 7019523265 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | MR. MICHAEL J DELFS (CEO) |
| Authorized Official Telephone | 7019524850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1455026 | 05 |
| Other Name | Type Code |
|---|---|
| Jamestown Regional Medical Center Physician Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700038981 | Lutheran Charity Association | Radiology | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2008-10-21 |
| 1508924622 | Lutheran Charity Association | Pharmacy | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2006-12-04 |
| 1407957277 | Lutheran Charity Association | Nurse Anesthetist, Certified Registered | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2006-09-26 |
| 1578519880 | Lutheran Charity Association | Durable Medical Equipment & Medical Supplies | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2006-05-26 |
| 1073569794 | Lutheran Charity Association | Obstetrics & Gynecology | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2006-05-25 |
| 1184610347 | Lutheran Charity Association | Medicare Defined Swing Bed Unit | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2005-09-23 |
| 1548256753 | Lutheran Charity Association | General Acute Care Hospital | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2005-09-22 |
| 1386638179 | Lutheran Charity Association | Hospice Care, Community Based | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2005-09-07 |
| 1528052511 | Lutheran Charity Association | Home Health | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2005-09-06 |
| Street Address |
2422 20TH ST SW |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058676 | Michael T Dean | Orthopaedic Surgery | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2005-07-29 |
| 1831757632 | Laura Ann Bond | Nurse Practitioner | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2019-06-05 |
| 1285299586 | Shelby Lyn Jager | Physical Therapist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2019-05-02 |
| 1174097364 | Brian Ament | Pharmacist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2019-01-22 |
| 1841763232 | Allyssa Ann Leininger | Nurse Anesthetist, Certified Registered | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2019-01-08 |
| 1790253433 | Holly Kiehl | Dietitian, Registered | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2018-11-12 |
| 1578045456 | Crystal Marie Krapp | Nurse Practitioner | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2018-09-06 |
| 1780179572 | Lauren Burningham | Speech-Language Pathologist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2018-06-25 |
| 1649760737 | Kayla Willer | Physical Therapist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2018-05-14 |
| 1912496688 | Sarah Lynn Redding | Occupational Therapist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2018-05-08 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568403624 | Scott Mark Cunningham | Emergency Medicine | 200 E 3rd St, Jamestown, NY 14701-5433 | 2006-06-09 |
| 1366409906 | Tanvir M Dara | Emergency Medicine | 15 S Main St Ste 270, Jamestown, NY 14701-6629 | 2006-04-27 |
| 1962406793 | Richard Gary Clark | Emergency Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2005-06-09 |
| 1508211889 | Ryan Knopper | Emergency Medicine | 207 Foote Ave, Jamestown, NY 14701-7077 | 2016-04-25 |
| 1891190948 | Gurnard Emergency Physicians LLC | Emergency Medicine | 436 Central Ave W, Jamestown, TN 38556-3031 | 2014-10-31 |
| 1164869707 | Zackary Paul Spradlin | Emergency Medicine | 207 Foote Ave, Jamestown, NY 14701-7077 | 2013-05-22 |
| 1396088571 | Derek B Kennedy | Emergency Medicine | 207 Foote Ave, Jamestown, NY 14701 | 2013-04-05 |
| 1679844799 | Exigence Medical of Jamestown Pllc | Emergency Medicine | 207 Foote Ave, Jamestown, NY 14701-7077 | 2012-01-20 |
| 1770850224 | Wellnow Urgent Care, PC | Emergency Medicine | 15 S Main St, Ste 270, Jamestown, NY 14701-6626 | 2011-11-29 |
| 1609189695 | Alfred Vaughn Derise Jackson Jr. | Emergency Medicine | 100 S Duncan St, Jamestown, TN 38556-3009 | 2010-07-19 |
| Find all providers in JAMESTOWN | ||||
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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.