HANS BJELLUM MD PC (NPI# 1972769826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972769826 |
| Entity Type | Organization |
| Organization Name | HANS BJELLUM MD PC |
| Practice Address |
1517 32nd Ave S Fargo ND 58103-5905 |
| Mailing Address |
4622 40th Ave S Fargo ND 58104-4394 |
| Practice Telephone | 7012326211 |
| Practice Fax Number | 7013649346 |
| Mailing Telephone | 7012326211 |
| Mailing Fax Number | 7013649346 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | HANS BJELLUM (OWNER) |
| Authorized Official Telephone | 3208157555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 41143 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073867263 | Hans Bjellum Md PC | Non-Pharmacy Dispensing Site | 1100 19th Ave N, Fargo, ND 58102-5906 | 2012-11-09 |
| 1841547387 | Hans Bjellum Md PC | Clinic/Center | 1100 19th Ave N, Suite L&m, Fargo, ND 58102-5906 | 2012-08-14 |
| Street Address |
1517 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982707543 | David Jerome Hartson | Psychologist | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2006-09-07 |
| 1790235042 | Innovis Health LLC | Family Medicine | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2016-10-11 |
| 1104112127 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2011-06-28 |
| 1851547160 | Hans Bjellum, Md, PC | Clinic/Center | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2008-08-18 |
| 1245444561 | Amy Jo Ratajczak | Physician Assistant | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2007-05-09 |
| 1427123397 | Rapidcare Urgent Care | Family Medicine | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2006-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316146822 | Lakhbir Singh Sarpal | General Practice | 1601 41st Ave S, Fargo, ND 58104-6370 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639531833 | Michael Brian Walery | General Practice | 681 Macon Dr, Bismarck, ND 58504-7236 | 2016-03-26 |
| 1184645533 | Gary W Ramage | General Practice | 525 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1851317317 | Linton Hospital | General Practice | 343 Main Street, Hazelton, ND 58544 | 2006-07-15 |
| 1063499804 | Rick J Geier | General Practice | 820 5th St N, Carrington, ND 58421-1223 | 2005-12-22 |
| 1992248967 | Necito L Montaniel | General Practice | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2016-11-23 |
| 1841654951 | Elbowoods Memorial Health Center | General Practice | 1058 College Dr, New Town, ND 58763-9112 | 2016-04-06 |
| 1598028771 | Garrett L Parker | General Practice | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2012-06-21 |
| 1124224753 | Charles Whitley Emerson IIi | General Practice | 909 2nd St, Langdon, ND 58249-2407 | 2007-06-21 |
| 1609957034 | Imelda T Naranja | General Practice | 604 1st St N, New Town, ND 58763-4144 | 2006-10-19 |
| 1376565903 | Edgar Kramer Oliveira | General Practice | 511 Elm Ave, Linton Medical Center, Linton, ND 58552 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
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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.