DAWN D MATTERN (NPI# 1962590661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962590661 |
| Entity Type | Individual |
| Full Name | DAWN D MATTERN |
| Credential | MD |
| Practice Address |
101 3rd Ave Sw Minot ND 58701-3880 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018575500 |
| Practice Fax Number | 7018396836 |
| Mailing Telephone | 7018575650 |
| Mailing Fax Number | 7018575031 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
7953 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10675 | 05 |
| Street Address |
101 3RD AVE SW |
| City | MINOT |
| State | ND |
| Zip Code | 58701-3880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551422 | Ravindra P Joshi | Orthopaedic Surgery | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2005-07-13 |
| 1902414832 | Kelsey Artz | Audiologist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2020-07-16 |
| 1437711272 | Kristin Anne Talbot | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2019-07-02 |
| 1750947776 | Cory Tumberg | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2019-05-15 |
| 1609431147 | Alycia Nicole Coutts | Nurse Practitioner | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2019-05-09 |
| 1184104986 | Kaari Burbach | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2018-08-21 |
| 1093216061 | Jessalyn Joy Kleinsasser | Occupational Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2018-02-26 |
| 1932612090 | Allison Ramos | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2017-11-13 |
| 1578082657 | Elizabeth Erin Graper | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2017-09-11 |
| 1679092795 | Sierra Lynn Beardsworth | Physical Therapist | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2017-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708530 | Devlin Ann Wiest | Family Medicine | 6000 College Ln, Jamestown, ND 58405-0001 | 2020-04-03 |
| 1043676414 | Jason Sharp | Family Medicine | 2301 25th St S, Fargo, ND 58103-6104 | 2016-01-14 |
| 1083632673 | Daniel K Ostlie | Family Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-18 |
| 1710904487 | Jeffrey K Lystad | Family Medicine | 2301 25th St S, Fargo, ND 58103-6104 | 2006-07-17 |
| 1467412528 | Scott H Grindel | Family Medicine | 2301 25th St S, Fargo, ND 58103-6104 | 2006-03-24 |
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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.