Sanford Health Network North | |
600 1st St Se Mayville ND 58257-1518 | |
(701) 788-4500 | |
(701) 788-4545 |
Full Name | Sanford Health Network North |
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Speciality | Family Medicine |
Location | 600 1st St Se, Mayville, North Dakota |
Authorized Official Name and Position | Shannon Teeman (SUPERVISOR) |
Authorized Official Contact | 7012341094 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sanford Health Network North 600 1st St Se Mayville ND 58257-1518 Ph: (701) 788-4500 | Sanford Health Network North 600 1st St Se Mayville ND 58257-1518 Ph: (701) 788-4500 |
NPI Number | 1366478760 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 11/27/2023 |
Medicare PECOS PAC ID | 8022206663 |
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Medicare Enrollment ID | O20171226001068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366478760 | NPI | - | NPPES |
079016800 | Medicaid | MN | |
DR5473 | Other | ND | RR MEDICARE |
15666 | Medicaid | ND | |
15664 | Medicaid | ND |
Provider Name | Steven W Lantz |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1457381212 PECOS PAC ID: 7315833860 Enrollment ID: I20040223001111 |
Provider Name | Eric C Pearson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003835984 PECOS PAC ID: 7719914217 Enrollment ID: I20050726000487 |
Provider Name | Charles J Breen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114944113 PECOS PAC ID: 2668402660 Enrollment ID: I20050819000059 |
Provider Name | Ajay K Bhora |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1538184023 PECOS PAC ID: 1759385453 Enrollment ID: I20060912000340 |
Provider Name | Kevin M Faber |
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Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1720095482 PECOS PAC ID: 2466459375 Enrollment ID: I20061106000488 |
Provider Name | Jason M Asheim |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780693424 PECOS PAC ID: 8628077872 Enrollment ID: I20070206000077 |
Provider Name | Kirsten D Peterson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285636423 PECOS PAC ID: 6406950757 Enrollment ID: I20070327000419 |
Provider Name | Mia M Kozojed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124281043 PECOS PAC ID: 1759456627 Enrollment ID: I20080813000054 |
Provider Name | Khaled S Zreik |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437320710 PECOS PAC ID: 6406929587 Enrollment ID: I20090818000837 |
Provider Name | Jane D Ostlie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063672749 PECOS PAC ID: 4880721463 Enrollment ID: I20100430000224 |
Provider Name | Naomi L Hass |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1467775924 PECOS PAC ID: 7113057456 Enrollment ID: I20100611000572 |
Provider Name | Luis A Garcia |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1104844752 PECOS PAC ID: 3971797309 Enrollment ID: I20101029001218 |
Provider Name | Theodore J Sawchuk |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1629090261 PECOS PAC ID: 2668596446 Enrollment ID: I20101102001019 |
Provider Name | Donald J Stallman |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1386665503 PECOS PAC ID: 4880889880 Enrollment ID: I20101118000689 |
Provider Name | Timothy J Luithle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578581146 PECOS PAC ID: 2769533355 Enrollment ID: I20110117000053 |
Provider Name | Bradley W Kohoutek |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649406703 PECOS PAC ID: 4688823388 Enrollment ID: I20121011000917 |
Provider Name | Donald R Gullicks |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619288602 PECOS PAC ID: 4183851041 Enrollment ID: I20140919001731 |
Provider Name | Rebekah J Aakre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134538911 PECOS PAC ID: 8022237148 Enrollment ID: I20140922001880 |
Provider Name | Brian J Hamm |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952542995 PECOS PAC ID: 4981919016 Enrollment ID: I20150818004711 |
Provider Name | John P Naughton |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487917340 PECOS PAC ID: 1850608597 Enrollment ID: I20150914001495 |
Provider Name | Laure Manack |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699218636 PECOS PAC ID: 0648552182 Enrollment ID: I20170118002227 |
Provider Name | Erika K Beckett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861649071 PECOS PAC ID: 9638230279 Enrollment ID: I20170301000487 |
Provider Name | Ellen D Vogels |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417255191 PECOS PAC ID: 1850696105 Enrollment ID: I20171003007581 |
Provider Name | Abbey Lee Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891215836 PECOS PAC ID: 7719250497 Enrollment ID: I20180220003248 |
Provider Name | Travis J Waswick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831578541 PECOS PAC ID: 7618284589 Enrollment ID: I20180821001406 |
Provider Name | Eric A Schommer |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1295179687 PECOS PAC ID: 2062646250 Enrollment ID: I20180927002427 |
Provider Name | Sugong Chen |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487972972 PECOS PAC ID: 9436388220 Enrollment ID: I20181126002120 |
Provider Name | Angela S Niffenegger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255508859 PECOS PAC ID: 4284975392 Enrollment ID: I20190417002047 |
Provider Name | Daaron A Mcfield |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306045984 PECOS PAC ID: 5092018705 Enrollment ID: I20191003001909 |
Provider Name | Michelle L Lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679852917 PECOS PAC ID: 6800050865 Enrollment ID: I20191211000948 |
Provider Name | Sheila D Bullock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366943334 PECOS PAC ID: 8729342381 Enrollment ID: I20210115001282 |
Provider Name | Davis John Mills |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063035608 PECOS PAC ID: 5890118582 Enrollment ID: I20220329001211 |
Provider Name | Dawn Page |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124557103 PECOS PAC ID: 5294006581 Enrollment ID: I20221229000451 |
Provider Name | Samantha Jo Fugleberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497489751 PECOS PAC ID: 5991177362 Enrollment ID: I20230213000133 |
Provider Name | Matthew Winkels |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811450588 PECOS PAC ID: 6103151410 Enrollment ID: I20231009001022 |
Sanford Mayville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Se, Mayville, ND 58257 Phone: 701-786-4500 |