Timothy Richard Schmiedeberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R29236 Issued in ND

Practice address

1200 S Columbia Rd - Altru Hospital
Grand Forks, ND 58201

Phone

(701) 780-6000

Fax

(701) 780-1942

NPI assigned

Aug 30, 2007

Last updated

Feb 25, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cavalier County Memorial Hospital Association

  dba Cavalier County Memorial Hospital & Clinics

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662
  Medicare reassignment NPD
• Christian Unity Hospital Corporation

  dba Unity Medical Center

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852
  Medicare reassignment NPD
• Grand Forks Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Grand Forks, ND
  • NPI 1447727946

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake

  • Emergency Medicine Physician
  • Devils Lake, ND
  • NPI 1790751170
  Medicare reassignment NPD
• P R Health Corporation

  dba First Care Health Center

  • Critical Access Hospital
  • Park River, ND
  • NPI 1679669741
  Medicare reassignment NPD
• Warren Community Hospital, Inc.

  dba North Valley Health Center

  • Critical Access Hospital
  • Warren, MN
  • NPI 1073516357
  Medicare reassignment NPD
• Cavalier County Memorial Hospital Association

  dba Langdon Prairie Health

  • Clinic/Center
  • Langdon, ND
  • NPI 1336201433
  NPD
• Christian Unity Hospital Corporation

  dba Grafton Family Clinic

  • Rural Health Clinic/Center
  • Grafton, ND
  • NPI 1558423665
  NPD
• Mercy Hospital of Devils Lake

  dba CHI St Alexius Health Devils Lake Clinic

  • Clinic/Center
  • Devils Lake, ND
  • NPI 1184117293
  NPD
• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • East Grand Forks, MN
  • NPI 1811918436
  NPD
• Warren Community Hospital, Inc.

  dba North Valley Health Center

  • Rural Health Clinic/Center
  • Warren, MN
  • NPI 1972642213
  NPD

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1194919357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-1891",
            "fax_number": "701-780-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD - ALTRU HOSPITAL",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-6000",
            "fax_number": "701-780-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIEDEBERG",
        "first_name": "TIMOTHY",
        "middle_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R29236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Schlichting, MD
• Debra K Schmaltz, FNP-C
• Jeremy Leon Schmaltz, LPCC
• Randi Denise Schmaltz, OT
• Cynthia Smith Schmidt, BS PHYSICAL THERAPY
• Robert J Schmiess Bundy
• Sarah Schmitt
• David Frederick Schmitz, M.D.
• Megan Schmitz, SLP
• Peter A Schmutzer, PHD

• Certified Registered Nurse Anesthetist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.