Organization Active NPI

Orthopaedic Associates of Fargo

  • Orthopaedic Surgery Physician
  • Fargo, ND
National Provider Identifier
1558375162
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC ASSOCIATES OF FARGO
Practice address
2301 25TH St S
Fargo, ND 58103-6104
Phone
(701) 237-9712
Fax
(701) 237-0922
NPI assigned
Jul 28, 2006
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Mr. Timothy Haugen
Title
Cpa/Ceo
Phone
(701) 237-9712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2301 25TH St S
Fargo, ND 58103-6104

Mailing address

2301 25TH St S
Fargo, ND 58103-6104
Phone (701) 237-9712

Other identifiers 1

IdentifierTypeStateIssuer
16416MedicaidND

National Provider Directory

National Provider Directory

Locations

45 1st Ave SE
Mayville, ND 58257
Phone (701) 786-4024

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1558375162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-237-9712",
            "fax_number": "701-237-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-237-9712",
            "fax_number": "701-237-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF FARGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "HAUGEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CPA/CEO",
        "authorized_official_telephone_number": "701-237-9712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16416",
            "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 Oct 21, 2009; 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.