Thomas Kaspari, M.D.
Individual provider Active NPI Family Medicine Physician · Beulah, ND
NPI 1528046000 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1528046000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ND7754 (ND)
- Practice address
- 1312 Hwy 49 NW
Beulah, ND 58523 - Phone
- (701) 873-4445
- Fax
- (701) 873-4199
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031215000205 | ND | Practitioner - Family Practice | 4688571110 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND7754 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coal Country Community Health Center | Current |
Accepting new patients | |
| Coal Country Community Health Center | Current |
Accepting new patients | |
| Hazen Memorial Hospital Association | Family Medicine | Current |
Accepting new patients |
| Hazen Memorial Hospital Association | Family Medicine | Current |
Accepting new patients |
| New Salem Commumity Clinic | Family Medicine | Past | Accepting new patients |
Locations
1312 Highway 49 N
Beulah, ND 58523
Phone (701) 873-4445
1101 3rd Ave NW
Slp Clnc
Beulah, ND 58523
Phone (701) 873-4242
1101 3rd Ave NW
Beulah, ND 58523
Phone (701) 530-8833
510 8th Ave NE
Hazen, ND 58545
Phone (701) 748-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ND7754 | ND | Yes |
Addresses
Primary practice location
1312 Hwy 49 NW
Beulah, ND 58523
Mailing address
1351 51St Ave SW
Hazen, ND 58545-9695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11558 | Medicaid | ND |
Other providers in Beulah, ND
- Orlan Jackson
- Stacy Lynn Johnson
- Britta Julson
- Alison Leigh Just
- David Just
- Eric Klindworth
- Jacinta-Jon Klindworth
- Samantha Jean Kost
- Haydee M Krieg
- Jean Langeliers
All providers in Beulah, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.