Active NPI
Daniel Scrimshaw, DO
- Emergency Medicine Physician
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 15087
- Practice address
- 2305 37TH Ave SW
Minot, ND 58701-7669 - Phone
- (701) 857-5000
- NPI assigned
- May 28, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | PT15087 | ND | |
| Emergency Medicine Physician | 207P00000X | 5101021797 | MI | |
| Emergency Medicine Physician | 207P00000X | 15087 | ND | Primary |
Addresses
Primary practice location
2305 37TH Ave SW
Minot, ND 58701-7669
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000
Other practice location 1
1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-3823
Other practice location 2
1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 60.57
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15087 | ND | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Home Care | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients |
Locations
3369 Solutions Ctr
Chicago, IL 60677
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641
1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400
Organizations & group practices 7
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.
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
-
- Critical Access Hospital
- Williston, ND
- NPI 1902824576
-
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
-
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
-
- Home Health Agency
- Williston, ND
- NPI 1871593723
-
- Rural Health Clinic/Center
- Beach, ND
- NPI 1669491262
-
- Otolaryngology Physician
- Dickinson, ND
- NPI 1851311815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1508245143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-418-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 37TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587017669",
"telephone_number": "701-857-5000"
}
],
"practiceLocations": [
{
"address_1": "1 Burdick Expy W",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587014406",
"country_code": "US",
"telephone_number": "701-857-3823",
"fax_number": "701-857-3260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 S Columbia Rd",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "58201",
"country_code": "US",
"telephone_number": "701-780-5280",
"fax_number": "701-780-4477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCRIMSHAW",
"first_name": "DANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ND",
"license": "PT15087",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101021797",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ND",
"license": "15087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.