JD Labash, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8402 Issued in ND

Practice address

1173 3Rd Ave W
Ste 12
Dickinson, ND 58601-3852

Phone

(701) 483-6777

Fax

(701) 483-6776

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Step Recovery Center

  • Addiction Medicine (Family Medicine) Physician
  • Reynoldsburg, OH
  • NPI 1467826453

  OH

  Medicare reassignment NPD
• Community Counseling Center of Ashtabula County

  • Adolescent and Children Mental Health Clinic/Center
  • Ashtabula, OH
  • NPI 1720029622
  NPD
• First Step Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Reynoldsburg, OH
  • NPI 1477004810
  NPD
• Cielo Vitality Health & Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Willowick, OH
  • NPI 1649672106
  NPD (past)
• Ea Health Physicians Medical Group - National LLC

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1427322981
  NPD (past)
• St. Joseph Ambulatory Care Inc

  • Medical Specialty Clinic/Center
  • Bangor, ME
  • NPI 1184678088
  NPD (past)
• Warren Recovery Group Inc

  • Community/Behavioral Health Agency
  • Shaker Heights, OH
  • NPI 1891389466
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1114989175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 1ST AVE W",
            "address_2": "STE 150",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015149",
            "telephone_number": "701-483-6777",
            "fax_number": "701-483-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 3RD AVE W",
            "address_2": "STE 12",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013852",
            "telephone_number": "701-483-6777",
            "fax_number": "701-483-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABASH",
        "first_name": "JD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "8402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11210",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "20316",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Kuylen, MD
• Kelsey L Kuylen, FNP
• Kyle Perkins
• Kylee Gruhlke, PLLC
• Michael Christopher Labadie, PHARMD, MBA
• Abby Lacher
• Christopher Lambertson
• Nils Landin
• Jessica M Landis
• Elaine Ruth Laplante

• All providers in Dickinson, ND
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.