Renee Small (NPI# 1194821355, PAC ID# 0648176867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194821355 |
| PAC ID by PECOS | 0648176867 |
| Professional Enrollment ID | I20031209000781 |
| Full Name | Renee Small |
| Organization Legal Name | SANFORD BISMARCK |
| Address |
515 E Broadway Ave Sanford 5th and Broadway Clinic Bismark ND 58801-4407 |
| Phone Number | 7013235631 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739098575 |
| Number of Group Practice Members | 362 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350015 | SANFORD MEDICAL CENTER BISMARCK |
| Address | Phone | Organization |
|---|---|---|
| 515 E Broadway Ave, Sanford 5th and Broadway Clinic, Bismark, ND 58801-4407 | 7013235631 | SANFORD BISMARCK |
| Organization Legal Name | SANFORD BISMARCK |
| Physicians | 373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant Andreas Fairbanks | Plastic and Reconstructive Surgery | Sanford Bismarck | 222 N 7th St, Bismarck, ND 58501-4436 |
| Abby R Renner | Nurse Practitioner | Sanford Bismarck | 414 N 7th St, Bismarck, ND 58501-4423 |
| Abby L Harris | Family Medicine | Sanford Bismarck | 801 21st Ave Se, Minot, ND 58701-6064 |
| Megan M Gietzen | Nurse Practitioner | Sanford Bismarck | 33 9th St W, Dickinson, ND 58601-3950 |
| Robert B Canham | Orthopedic Surgery | Sanford Bismarck | 209 N 7th St, Bismarck, ND 58501-4441 |
| Connie Kadrmas | Nurse Practitioner | Sanford Bismarck | 515 E Broadway Ave, Sanford 5th and Broadway Clinic, Bismark, ND 58801-4407 |
| Meghan K Hendrickson | Family Medicine | Sanford Bismarck | 102 Mandan Ave, Mandan, ND 58554-3771 |
| Sadaf Yousuf | Family Medicine | Sanford Bismarck | 910 18th St Nw, Mandan, ND 58554-1612 |
| Erica A Wald | Nurse Practitioner | Sanford Bismarck | 2615 Fairway St, Dickinson, ND 58601-2590 |
| Andrew J Miller | Diagnostic Radiology | Sanford Bismarck | 765 W Interstate Ave, Bismarck, ND 58503-0936 |
| Street Address |
515 E BROADWAY AVE SANFORD 5TH AND BROADWAY CLINIC |
| City | BISMARK |
| State | ND |
| Zip | 58801-4407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Kadrmas | Nurse Practitioner | Sanford Bismarck | 515 E Broadway Ave, Sanford 5th and Broadway Clinic, Bismark, ND 58801-4407 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Richards | Physician Assistant | Neurosurgical and Spinal Surgery Associates PC | 310 Airport Rd, Suite 2000, Williston, ND 58801-2959 |
| Salem Shahin | Urology | Mercy Medical Center | 1219 Knoll St, Williston, ND 58801-3234 |
| Robert G Ceynar | Chiropractic | 2315 2nd Ave W, Ceynar Chiropractic Clinic, Williston, ND 58801-3411 | |
| Kyle Robert Ceynar | Chiropractic | 2315 2nd Ave W, Williston, ND 58801-3411 | |
| Ronald A Wright | Chiropractic | 2204 2nd Ave W, Suite 103, Williston, ND 58801-3485 | |
| Jason Dewitt Moore | Chiropractic | 2111 4th Ave E, Williston, ND 58801-3526 | |
| Thomas J Kovacs Jr. | Chiropractic | 2304 11th Ave W, 104 Kovacs Dc and Nut Ctr, Williston, ND 58801-3806 | |
| Evonne A Hickok | Nurse Practitioner | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Karen L Johnson | Certified Registered Nurse Anesthetist (crna) | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Alison Lynch | Nurse Practitioner | Trinity Health | 1321 W Dakota Pkwy, Williston, ND 58801-3807 |
| Find all physicians in zip 58801 | |||
| City | BISMARK |
| Zip Code | 58801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BISMARK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renee Small.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.