Medical Arts Physicians LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3751 Issued in ND

Legal business name

MEDICAL ARTS PHYSICIANS LTD

Practice address

614 Dakota Ave
Wahpeton, ND 58075-4300

Phone

(701) 642-4471

Fax

(701) 642-2878

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Deyon M Suchla

Title

Medical Practice Manager

Phone

(701) 476-8414

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James P Wasemiller, MD

  • Surgery Physician
  • Breckenridge, MN
  • NPI 1619995420
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1114199635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754300",
            "telephone_number": "701-642-4471",
            "fax_number": "701-642-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754300",
            "telephone_number": "701-642-4471",
            "fax_number": "701-642-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SUCHLA",
        "authorized_official_first_name": "DEYON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL PRACTICE MANAGER",
        "authorized_official_telephone_number": "701-476-8414"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "3751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12405",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ND",
            "identifier": "00545001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niklaas Mattson, PT
• William M Mayo, MD
• Paula L McDonald, R.PH
• Dawn R McKinnon, NP
• Eugene D Mead, MD
• Anne C Meyer, PHARM. D., BCPS
• Midwest Vision Centers, Inc.
• Halida Mikanovic
• Garry A Mislan, MD
• Katherine Ann Mistelske

• Family Medicine Physician in Wahpeton, ND
• Providers in Wahpeton, 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 Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.