Great Plains Clinic, PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC0565 Issued in ND

Legal business name

GREAT PLAINS CLINIC, PC

Practice address

33 9TH St W
Dickinson, ND 58601-3950

Phone

(701) 483-6017

Fax

(701) 483-5018

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Becky Roshau

Title

Office Manager

Phone

(701) 456-5115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1326456963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 9TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013950",
            "telephone_number": "701-483-6017",
            "fax_number": "701-483-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 9TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013950",
            "telephone_number": "701-483-6017",
            "fax_number": "701-483-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "ROSHAU",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-456-5115"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace & Wisdom Counseling PLLC
• Graceland Services LLC
• Gale S Graham
• Emily Gran
• Great Plains Clinic P.C.
• Great Plains Restorative Services, LLC
• Christine T Greenwood
• Debra K Greenwood, RPH
• Linda Kathleen Gregory
• Angela Stephens Greiner, MD

• Physician Assistant in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.