Myra J Quanrud, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

70000 Issued in ND

Practice address

401 3Rd St SE
Jamestown, ND 58401-4247

Phone

(701) 253-5300

Fax

(701) 253-5402

NPI assigned

Jun 7, 2006

Last updated

Aug 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Myra J Hennessey Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of North Dakota School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anne Carlsen CenterGroup PAC ID 1557687274, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne Carlsen Center

  • Physical Therapist
  • Jamestown, ND
  • NPI 1598930109
  Medicare reassignment Care Compare group NPD
• Innovis Health, LLC

  dba Essentia Health Fargo

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463
  Medicare reassignment NPD
• Innovis Health LLC

  dba Essentia Health-Osgood Clinic

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1144776576
  NPD
• Innovis Health LLC

  dba Essentia Health Moorhead Clinic

  • Family Medicine Physician
  • Moorhead, MN
  • NPI 1659617504
  NPD
• Anne Carlsen Center

  • Intellectual Disabilities Intermediate Care Facility
  • Jamestown, ND
  • NPI 1326172412
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lutheran Charity Association

  dba Jamestown Regional Medical Center

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1598705758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 3RD ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014247",
            "telephone_number": "701-253-5300",
            "fax_number": "701-253-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 3RD ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014247",
            "telephone_number": "701-253-5300",
            "fax_number": "701-253-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANRUD",
        "first_name": "MYRA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ND",
            "license": "70000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "HENNESSEY",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kennedy Joe Pugh, PT, DPT
• Robert J Purcell, DC
• Qual Chiropractic
• Richard W Qual, DOCTOR OF CHIROPRACT
• Terri Mae Qual, BC-HIS
• Landon Rachel, PHARMD
• Radiology Services, P.a.
• Shamso Osman Rage
• Tim L Randall, LAC
• Madeline Ranum, CEP, CCRP

• Pediatrics Physician in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Pediatrics Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.

Verify at the official NPI Registry.