Individual provider Active NPI

Timothy J Studer, DO

  • Family Medicine Physician
  • Perham, MN
National Provider Identifier
1285655407
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40521 Issued in MN
Practice address
1000 Coney St W
Perham, MN 56573-2102
Phone
(218) 347-1200
NPI assigned
Jul 22, 2006
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40521 MN Primary

Addresses

Primary practice location

1000 Coney St W
Perham, MN 56573-2102

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

20 Centennial 84 Dr W
New York Mills, MN 56567
Phone (218) 385-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstuder1840898@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20081210000550 MN Practitioner - Family Practice 5496816365 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
40521MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Healthcare Corporation CurrentSince Dec 20, 2016 Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Dec 20, 2016 Accepting new patients
Perham Hospital District Family Medicine Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 6, 2022 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Perham Hospital District CurrentSince Oct 1, 2011 Accepting new patients
Perham Hospital District Current Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Perham Hospital District CurrentSince Oct 1, 2011 Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

1527 Broadway St
Alexandria, MN 56308
Phone (320) 762-0399

420 12th Ave E
Alexandria, MN 56308
Phone (320) 762-6653

2400 St Francis Dr
Breckenridge, MN 56520
Phone (218) 643-0226

712 S Cascade St
Fergus Falls, MN 56537

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111

211 E Mill St
Pelican Rapids, MN 56572
Phone (218) 863-6100

1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200

737 Broadway N
Fargo, ND 58102
Phone (701) 234-4811

420 S 7th St
Oakes, ND 58474
Phone (701) 742-3267

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: tstuder12412@direct.centracare.com
  • Direct secure messaging: tstuder1840898@direct.sanfordhealth.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1285655407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732102",
            "telephone_number": "218-347-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Centennial 84 Dr W",
            "address_purpose": "LOCATION",
            "city": "New York Mills",
            "state": "MN",
            "postal_code": "56567",
            "country_code": "US",
            "telephone_number": "218-385-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUDER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-02-17",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "40521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstuder1840898@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "20 Centennial 84 Dr W",
            "city": "New York Mills",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

Verify at the official NPI Registry.