FM Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FM ENDOSCOPY CENTER LLC

Practice address

350 23Rd Ave East, Suite 201
West Fargo, ND 58078

Phone

(701) 356-4770

Fax

(701) 356-4774

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Jed Alexander Laplante, MHA

Title

Administrator

Phone

(701) 356-4770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Special Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Listed as

Center for Special SurgeryCCN 35C0001022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Cssa, LLC

  • Certified Registered Nurse Anesthetist
  • Fargo, ND
  • NPI 1942830856

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Quentin Johnson, MD

  • Orthopaedic Surgery Physician
  • Fargo, ND
  • NPI 1366494809
  NPD
• Lesley A Soine, MD

  • Otolaryngology Physician
  • West Fargo, ND
  • NPI 1700944915
  NPD
• David Jerome Hanson, MD

  • Anesthesiology Physician
  • Fargo, ND
  • NPI 1932262474
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1326144221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 23RD AVE EAST, SUITE 201",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-356-4770",
            "fax_number": "701-356-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 23RD AVE EAST, SUITE 201",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-356-4770",
            "fax_number": "701-356-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "LAPLANTE",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-356-4770",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465089",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Special Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nevin Fetzer
• Brandon Fitzgerald, LSW
• Tyler Flaa
• Hannah Flohr
• Ashley Flynn-Privett, M.S., BCBA
• FM Optometry PLLC
• FM Wellness Connection, LTD
• Meghann Foster
• Jadyn Fox
• Foye Counseling and Consulting, PLLC

• Ambulatory Surgical Clinic/Center in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Ambulatory Surgical Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.