Active NPI
Thomas D Ahlin, MD
- Nephrology Physician
- Fargo, ND
National Provider Identifier
1316964307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 4123
- Practice address
- 737 Broadway
Fargo, ND 58122-0001 - Phone
- (701) 234-3360
- Fax
- (701) 234-3868
- NPI assigned
- Jul 16, 2006
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 4123 | ND | Primary |
Addresses
Primary practice location
737 Broadway
Fargo, ND 58122-0001
Mailing address
737 Broadway
Fargo, ND 58122-0001
Phone (701) 234-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
737 Broadway N
Fargo, ND 58102
Phone (701) 234-4811
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
420 S 7th St
Oakes, ND 58474
Phone (701) 742-3267
Organizations & group practices 2
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.
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-
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- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1316964307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 BROADWAY",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-3360",
"fax_number": "701-234-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 BROADWAY",
"city": "FARGO",
"state": "ND",
"postal_code": "581220001",
"telephone_number": "701-234-3360",
"fax_number": "701-234-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHLIN",
"first_name": "THOMAS",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ND",
"license": "4123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.