Daniel M Hoffman (NPI# 1205006897, PAC ID# 2264602119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1205006897 |
| PAC ID by PECOS | 2264602119 |
| Professional Enrollment ID | I20181019002299 |
| Full Name | Daniel M Hoffman |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Address |
4656 40th Ave S Fargo ND 58104-4397 |
| Phone Number | 7012348860 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2007 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4284546151 |
| Number of Group Practice Members | 369 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 4656 40th Ave S, Fargo, ND 58104-4397 | 7012348860 | SANFORD CLINIC NORTH |
| 4656 40th Ave S, Fargo, ND 58104-4397 | SANFORD MEDICAL CENTER FARGO |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sadie M Nelson | Nurse Practitioner | Sanford Clinic North | 801 Broadway N, Fargo, ND 58102-3641 |
| Jenna M Long | Nurse Practitioner | Sanford Clinic North | 100 St Ave Sw, Suite 2, Lamoure, ND 58458-7419 |
| Tamera A Ostenaa | Nurse Practitioner | Sanford Clinic North | 410 4th St Nw, Mahnomen, MN 56557-4208 |
| Morgan R Rinke | Nurse Practitioner | Sanford Clinic North | 820 4th St N, Fargo, ND 58102-4539 |
| Mridu Gandhi | Family Medicine | Sanford Clinic North | 929 Central Ave Nw, East Grand Forks, MN 56721-1917 |
| Ashish V Regulagadda | Nephrology | Sanford Clinic North | 736 Broadway N, Fargo, ND 58122-4421 |
| Mackenze J Cimbura | Physical Therapy | Sanford Clinic North | 904 5th Ave Ne, Jamestown, ND 58401-3437 |
| Carrie L Holt | Nurse Practitioner | Sanford Clinic North | 108 Viking Ave W, Ulen, MN 56585-0024 |
| Tara R Mertz-hack | Family Medicine | Sanford Clinic North | 420 S 7th St, Oakes, ND 58474-2024 |
| Mary Isom | Physician Assistant | Sanford Clinic North | 21 Wiley Ave S, Lidgerwood, ND 58053-4001 |
| Street Address |
4656 40TH AVE S |
| City | FARGO |
| State | ND |
| Zip | 58104-4397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin P Boyd | Dermatology | Sanford Medical Center Fargo | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Ryan R Bogner | Dermatology | Sanford Clinic North | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Joanne R Montgomery | Dermatology | Sanford Clinic North | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Tania Marie Gonzalez Santiago | Dermatology | Sanford Medical Center Fargo | 4656 40th Ave S, Fargo, ND 58104-4397 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parth A Vyas | Orthopedic Surgery | Sanford Medical Center Fargo | 2301 25th St S, Fargo, ND 58104 |
| Breana B Ritchie | Nurse Practitioner | Sanford Medical Center Fargo | 2301 25th St S, Fargo, ND 58104 |
| Glenda G Trochmann | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 201 S University Dr, Fargo, ND 58104-1775 |
| Su Ann Ng | Diagnostic Radiology | Medical Imaging of Lehigh Valley PC | 4222 Clubhouse Dr S, Fargo, ND 58104-3332 |
| Martha Slade Kearns | Diagnostic Radiology | Medical Imaging of Lehigh Valley PC | 4222 Clubhouse Dr S, Fargo, ND 58104-3332 |
| Crystal R Wring | Physical Therapy | Caring Edge Op LLC | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Sarah Coplin | Physical Therapy | Caring Edge Op LLC | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Marcus Anthony Sickler | Occupational Therapy | Caring Edge Op LLC | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Mckayla M Artz | Physical Therapy | Horizon Therapy, Inc. | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Alyssa J Shirek | Occupational Therapy | Horizon Therapy, Inc. | 4420 37th Ave S, Fargo, ND 58104-3400 |
| Find all physicians in zip 58104 | |||
| City | FARGO |
| Zip Code | 58104 |
| Specialty | DERMATOLOGY |
| City + Specialty | FARGO + DERMATOLOGY |
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| 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.