Active NPI
Timothy J Studer, DO
- Family Medicine Physician
- Perham, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40521
- Practice address
- 1000 Coney St W
Perham, MN 56573-2102 - Phone
- (218) 347-1200
- NPI assigned
- Jul 22, 2006
- Last updated
- Feb 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40521 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Family Medicine | Current | Accepting new patients |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Perham Hospital District | Family Medicine | Current | Accepting new patients |
| Alomere Health | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Perham Hospital District | Current | 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
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- tstuder12412@direct.centracare.com
- 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.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
MN
-
dba Heartland Orthopedic Specialists - Willmar
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
-
- Clinical Medical Laboratory
- Alexandria, MN
- NPI 1811988025
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
dba Chi St Francis Health
- Rural Health Clinic/Center
- Milnor, ND
- NPI 1235215252
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.