Stacey Alan Smith (NPI# 1649210832, PAC ID# 8729169446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649210832 |
| PAC ID by PECOS | 8729169446 |
| Professional Enrollment ID | I20080118000308 |
| Full Name | Stacey Alan Smith |
| Organization Legal Name | SANFORD CLINIC NORTH |
| Address |
4000 28th S Ave Moorhead MN 56560-7926 |
| Phone Number | 2182337578 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
|---|---|---|
| 4000 28th S Ave, Moorhead, MN 56560-7926 | 2182337578 | SANFORD CLINIC NORTH |
| 211 E Mill St, Pelican Rapids, MN 56572-4234 | SANFORD CLINIC NORTH |
| 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 |
| Daniel M Hoffman | Dermatology | Sanford Clinic North | 4656 40th Ave S, Fargo, ND 58104-4397 |
| 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 |
| Street Address |
4000 28TH S AVE |
| City | MOORHEAD |
| State | MN |
| Zip | 56560-7926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha M Hass | Physician Assistant | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Allison J Clapp | Diagnostic Radiology | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Michele A Spiekermeier | Nurse Practitioner | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Jon Edwin Bradbury | Family Medicine | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Dean A Gross | Nurse Practitioner | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Christel L Parvey | Physical Therapy | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Stephanie R Hinkle | Physician Assistant | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Meagen L Anderson | Physician Assistant | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Laurie Jung | Physical Therapy | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Wendy Sue Riva | Physician Assistant | Sanford Clinic North | 4000 28th S Ave, Moorhead, MN 56560-7926 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Gilbertson | Chiropractic | Lau-gilbertson Chiropractic Clinic Pa | 420 Ctr Ave, Suite 48, Moorhead, MN 56560-1962 |
| Stanton Andrist | Optometry | Stanton L Andrist and Casey C Bartz | 420 Ctr Ave, Suite 41, Moorhead, MN 56560-1962 |
| Casey C Bartz | Optometry | Stanton L Andrist and Casey C Bartz | 420 Ctr Ave, Suite 41, Moorhead, MN 56560-1962 |
| Denise M Duke | Psychologist, Clinical | 420 Ctr Ave, Suite 5, Moorhead, MN 56560-1962 | |
| Matthew D Lau | Chiropractic | Lau-gilbertson Chiropractic Clinic Pa | 420 Ctr Ave, Suite 48, Moorhead, MN 56560-1962 |
| Sarah A Berg | Chiropractic | Pladson-lau Chiropractic Clinic Pa | 420 Ctr Ave, Suite 48, Moorhead, MN 56560-1962 |
| Jeffrey S Pladson | Chiropractic | Pladson-lau Chiropractic Clinic Pa | 420 Ctr Ave, Suite 48, Moorhead, MN 56560-1962 |
| Troy E Storlie | Chiropractic | 40 N 4th St, Moorhead, MN 56560-2020 | |
| Jace Michael Foss | Chiropractic | Med-plus Health Care, Pllc | 2921 S Frontage Rd, Suite 3, Moorhead, MN 56560-2571 |
| Adam Daniel Loe | Chiropractic | Med-plus Health Care, Pllc | 2921 S Frontage Rd, Suite 3, Moorhead, MN 56560-2571 |
| Find all physicians in zip 56560 | |||
| City | MOORHEAD |
| Zip Code | 56560 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOORHEAD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stacey Alan Smith.
| 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.