Sanford Health

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

SANFORD HEALTH

Doing business as

Sanford Health Mobile Med, LLC

Practice address

2603 E Broadway Ave
Bismarck, ND 58501-5107

Phone

(701) 323-5222

Fax

(701) 323-5867

NPI assigned

Jul 24, 2014

Organization subpart

Yes

Parent organization

SANFORD HEALTHAs reported in NPPES

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

Authorized official

Name

Stephanie Murdock, MBA, MSN

Title

Enterprise Vice President

Phone

(701) 323-5222

Specialties & licenses 1

Addresses

Other names 1

• Sanford Health Mobile Med, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Clark O Taylor DDS

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1295143030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015107",
            "telephone_number": "701-323-5222",
            "fax_number": "701-323-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015107",
            "telephone_number": "701-323-5222",
            "fax_number": "701-323-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD HEALTH",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MURDOCK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ENTERPRISE VICE PRESIDENT",
        "authorized_official_telephone_number": "701-323-5222",
        "authorized_official_credential": "MBA, MSN"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Health Mobile Med, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Bismarck
• Sanford Bismarck
• Sanford Bismarck
• Sanford Bismarck
• Sanford Bismarck
• Sanford Healthcare Accessories, LLC
• Sanford Medical Center Bismarck
• Sanford West
• Igmidio A Santos, MD
• Andreas Sarrigiannidis, MD

• Occupational Medicine Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Medicine Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.