Active NPI
William Yvorchuk MDCM
- Plastic Surgery Physician
- Fargo, ND
National Provider Identifier
1396802757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- WILLIAM YVORCHUK MDCM
- Practice address
- 3270 20TH St S
Fargo, ND 58104-5917 - Phone
- (701) 293-7408
- Fax
- (701) 235-2099
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Gilbertson
- Title
- Practice Manager
- Phone
- (701) 499-4807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
3270 20TH St S
Fargo, ND 58104-5917
Mailing address
3270 20TH St S
Fargo, ND 58104-5917
Phone (701) 293-7408
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37CG2YV | Other | MN | MN BLUE SHIELD |
| 06635001 | Other | ND | ND BLUE SHIELD |
| 13595 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
3270 20th St S
Fargo, ND 58104
Phone (701) 293-7408
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Anesthesiology) Physician
- Gainesville, FL
- NPI 1265475222
Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1396802757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 20TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581045917",
"telephone_number": "701-293-7408",
"fax_number": "701-235-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 20TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581045917",
"telephone_number": "701-293-7408",
"fax_number": "701-235-2099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM YVORCHUK MDCM",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "GILBERTSON",
"authorized_official_first_name": "MARGARET",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "701-499-4807"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BLUE SHIELD",
"identifier": "37CG2YV",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND BLUE SHIELD",
"identifier": "06635001",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13595",
"state": "ND"
}
],
"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 Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.