NPIMap

Individual provider Active NPI

Joshua Ranum, MD

  • Internal Medicine Physician
  • Hettinger, ND
National Provider Identifier
1609035120
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11775 Issued in ND
Practice address
1000 Highway 12
Hettinger, ND 58639-7530
Phone
(701) 567-4561
Fax
(701) 567-6301
NPI assigned
Jun 9, 2008
Last updated
May 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRL 10914 ND
Internal Medicine Physician 207R00000X 4301094829 MI
Internal Medicine Physician 207R00000X 11775 ND Primary

Addresses

Primary practice location

1000 Highway 12
Hettinger, ND 58639-7530

Mailing address

1000 Highway 12
Hettinger, ND 58639-7530
Phone (701) 567-4561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820000409 ND Practitioner - Internal Medicine 9830368794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Dakota School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West River Health ServicesGroup PAC ID 0042127045, 18 clinicians
Omaha Therapy IncGroup PAC ID 1557270915, 68 clinicians

Practice addresses (Care Compare)

1000 Hwy 12
Hettinger, ND 58639-7530
Phone (701) 567-4561

683 State Ave
Dickinson, ND 58601-4660
Phone (701) 483-9400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRL 10914NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West River Health Services Current Accepting new patients
Lemmon Area Medical Association Past Accepting new patients
Saint Mary's Health Services Past Accepting new patients
West River Health Services Past Accepting new patients
Western Horizons Living Centers Past Accepting new patients
West River Health Services Past Accepting new patients
Trinity Health - Michigan Past Accepting new patients

Locations

608 Highway 12 W
Bowman, ND 58623
Phone (701) 523-3255

1000 Highway 12
Hettinger, ND 58639
Phone (701) 567-4561

401 Millionaire Ave
Ste B
Mott, ND 58646
Phone (701) 824-2391

411 Main Ave
Lemmon, SD 57638
Phone (605) 374-3773

Interoperability endpoints

  • Direct secure messaging: joshuaranum@wrhs.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Western Horizons Care CenterHettinger, ND, CCN 355042 Skilled nursing facility Contracted Managing Employee
Operational/Managerial Control
Trustee of the SNF
Adp of the SNF		 Jul 1, 2003
Dec 18, 2024
Jul 1, 2023
Dec 23, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Western Horizons Living Centers

    dba Western Horizons Care Center

    • Skilled Nursing Facility
    • Hettinger, ND
    • NPI 1770778748

    Adp of the SNF, Contracted Managing Employee, Operational/Managerial Control, Trustee of the SNF

    CMS ownership

Organizations & group practices 9

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1609035120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397530",
            "telephone_number": "701-567-4561",
            "fax_number": "701-567-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 12",
            "city": "HETTINGER",
            "state": "ND",
            "postal_code": "586397530",
            "telephone_number": "701-567-4561",
            "fax_number": "701-567-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANUM",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "TRL 10914",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094829",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "11775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hettinger, ND

Sources for this page

Verify at the official NPI Registry.