Robert H Clayburgh, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4976 Issued in ND

Practice address

3035 Demers Ave
Grand Forks, ND 58201-4018

Phone

(701) 746-7521

Fax

(701) 795-2553

NPI assigned

Jan 27, 2006

Last updated

Dec 27, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1598736662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014018",
            "telephone_number": "701-746-7521",
            "fax_number": "701-795-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014018",
            "telephone_number": "701-746-7521",
            "fax_number": "701-795-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBURGH",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ND",
            "license": "4976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14534",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00062322",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "023396",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "628S6CL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Grand Forks (Grand Forks Public Health Department)
• Lindsay Ann Clarksean, RN
• Kayla Clausen, FNP-C
• Ilse Marielle Clauson, MOT, OTR/L
• John E Clayburgh, DDS
• Briana Rene Clements-Bazer
• Helen Cleveland
• Cindy Cogsdell
• Meagan Montana Cogsdell
• Rita Davis Cole, LMSW

• Orthopaedic Surgery Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Orthopaedic Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.