Plains Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PLAINS MEDICAL CLINIC, LLC

Practice address

3290 20TH St S
Fargo, ND 58104-5923

Phone

(701) 499-4800

Fax

(701) 451-9452

NPI assigned

Oct 26, 2006

Last updated

May 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Margaret Gilbertson

Title

Practice Manager

Phone

(701) 499-4807

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hoadley Howe Harris, M.D.

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1811991607
  Medicare reassignment Care Compare group NPD
• Cristy Brosowske, PA-C

  • Physician Assistant
  • Fargo, ND
  • NPI 1245541051
  Medicare reassignment Care Compare group
• Tyson Noel Williams, PA-C

  • Physician Assistant
  • Fargo, ND
  • NPI 1205512688
  Medicare reassignment Care Compare group
• Huyen Nu Bich Buegel, NP

  • Nurse Practitioner
  • Fargo, ND
  • NPI 1982983789
  Medicare reassignment NPD
• Joel Floyd Schock IV, M.D.

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1790789576
  Medicare reassignment NPD
• Debra Andvik, PAC

  • Medical Physician Assistant
  • Fargo, ND
  • NPI 1821172404
  Medicare reassignment
• Angela Marie Skyberg, PA-C

  • Physician Assistant
  • Ada, MN
  • NPI 1508917659

  ND

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1073698460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 20TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045923",
            "telephone_number": "701-499-4800",
            "fax_number": "701-451-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 20TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045923",
            "telephone_number": "701-499-4800",
            "fax_number": "701-451-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "GILBERTSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "701-499-4807"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ND",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "569500002",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Pladson Frie, MOT, OTR/L
• Jessica Pladson
• Jakob Plagenz, MD
• Chasidi Irene Plaine, FNP-C
• Plains Anesthesia, PLLC
• Plastic Surgery Institute, PC
• Abigail Platt
• Jodi Plecity
• Mark Allen Plencner, R. PH.
• Robert Lee Plentychief

• Family Medicine Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.