Total Transformation Clinic, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TOTAL TRANSFORMATION CLINIC, PC

Practice address

317 16TH St NW
Minot, ND 58703-2919

Phone

(701) 837-9900

NPI assigned

Apr 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Felistas Madziwa, M.D

Title

Physician

Phone

(701) 500-3027

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1376963520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 16TH ST NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032919",
            "telephone_number": "701-837-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 16TH ST NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032919",
            "telephone_number": "701-837-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL TRANSFORMATION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "MADZIWA",
        "authorized_official_first_name": "FELISTAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "701-500-3027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124006879",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10461",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Toquee
• Shelly Lou Torgerson
• Shelby Tornato
• Ma Del Rosario Torres
• Total Behavior Support LLC
• Deborah Townsend, CNS
• Richard Townsend, PSYD
• Devin Scott Towson, DPM
• Anne M Toy, OTR/L
• Linda Tran, PHARMD

• Internal Medicine Physician in Minot, ND
• Providers in Minot, ND by specialty
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.