Janelle J Ferderer – Multi-Specialty Clinic/Center

Key facts

NPI: 1568197150
Entity type: Individual (NPI type 1)
Primary specialty: Multi-Specialty Clinic/Center 261QM1300X
License: 45000 (ND)
Practice address: 203 S Broadway St
Linton, ND 58552-5855
Phone: (701) 851-0201
NPI assigned: Jul 19, 2022
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Beyond the Classroom LLC Clinic/Center · Linton, ND · NPI 1831824374

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
45000	ND	MD	Multi-Specialty Clinic/Center

Practice roles

Organization	Specialty	Status	New patients
Beyond the Classroom LLC		Current since Jul 24, 2022	Accepting new patients

Locations

203 S Broadway St
Linton, ND 58552
Phone (701) 851-0201

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Multi-Specialty Clinic/Center	261QM1300X	45000	ND	Yes

Addresses

Primary practice location

203 S Broadway St
Linton, ND 58552-5855

Mailing address

241 SE 2ND St
Linton, ND 58552-7604
Phone (701) 851-0201

Other providers in Linton, ND

All providers in Linton, ND · Multi-Specialty Clinic/Center 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 Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.