Andrew Lewis Rodenburg (NPI# 1003253634, PAC ID# 8628345642) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1003253634 |
PAC ID by PECOS | 8628345642 |
Professional Enrollment ID | I20170523002117 |
Full Name | Andrew Lewis Rodenburg |
Organization Legal Name | DAKOTA EYE INSTITUTE, P.C. |
Address |
3119 N 14th St Bismarck ND 58503-0664 |
Phone Number | 7012223937 |
Gender | M |
Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 2062404205 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
351335 | JAMESTOWN REGIONAL MEDICAL CENTER |
350015 | SANFORD MEDICAL CENTER BISMARCK |
Address | Phone | Organization |
---|---|---|
200 S 5th St, Bismarck, ND 58504-5675 | 7012223937 | DAKOTA EYE INSTITUTE, P.C. |
3119 N 14th St, Bismarck, ND 58503-0664 | 7012223937 | DAKOTA EYE INSTITUTE, P.C. |
Organization Legal Name | DAKOTA EYE INSTITUTE, P.C. |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph S Klabo | Optometry | Dakota Eye Institute, P.C. | 201 7th St Sw, Suite 2, Rugby, ND 58368-2100 |
Paul A Balliet | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Joel H Springan | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Elena Raducu | Ophthalmology | Dakota Eye Institute, P.C. | 200 S 5th St, Bismarck, ND 58504-5675 |
Douglas W Litchfield | Ophthalmology | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Amber J Harris | Nurse Practitioner | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Michael R Ranum | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Aaron C Fortney | Ophthalmology | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Sharon C Beattie | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Guy G Otteson | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Street Address |
3119 N 14TH ST |
City | BISMARCK |
State | ND |
Zip | 58503-0664 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul A Balliet | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Joel H Springan | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Douglas W Litchfield | Ophthalmology | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Amber J Harris | Nurse Practitioner | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Michael R Ranum | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Aaron C Fortney | Ophthalmology | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Sharon C Beattie | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Guy G Otteson | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Thomas J Samson | Optometry | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Paul D Selid | Ophthalmology | Dakota Eye Institute, P.C. | 3119 N 14th St, Bismarck, ND 58503-0664 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
John W Badinger | Chiropractic | 117 E Century Ave, Bismarck, ND 58503-0412 | |
Krista R Heil | Optometry | Family Vision Clinic LLP | 111 E Century Ave, Bismarck, ND 58503-0412 |
George Gero | Optometry | Family Vision Clinic LLP | 111 E Century Ave, Bismarck, ND 58503-0412 |
Amy M Fleck | Optometry | Family Vision Clinic LLP | 111 E Century Ave, Bismarck, ND 58503-0412 |
Robert D Shaw | Chiropractic | 1003 E Interstate Ave, Suite 5, Bismarck, ND 58503-0500 | |
Rhonda D Dockter Jolliffe | Nurse Practitioner | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
Alicia D Hansen | Occupational Therapy | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
Michelle M Peake | Occupational Therapy | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
Anthony Keith Mitterling | Physical Therapy | Bachndoc Inc. | 1001 Gateway Ave, Bismarck, ND 58503-0508 |
Ryan P Koch | Chiropractic | 2600 Gateway Ave, Suite 2, Bismarck, ND 58503-0513 | |
Find all physicians in zip 58503 |
City | BISMARCK |
Zip Code | 58503 |
Specialty | OPHTHALMOLOGY |
City + Specialty | BISMARCK + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Andrew Lewis Rodenburg.
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.