Noelle Estherlene Blue Arm, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Fargo, ND
NPI 1619169166 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1619169166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 43599 (AZ)
- Practice address
- 2101 Elm Street N
Pathology 113
Fargo, ND 58102-2417 - Phone
- (701) 239-3700
- Fax
- (701) 237-2680
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110217000722 | TX | Practitioner - Pathology | 1850572256 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43599 | AZ | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current |
Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
4212 N 16th St
Bldg 255
Phoenix, AZ 85016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 43599 | AZ | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 43599 | AZ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 43599 | AZ | Yes |
Addresses
Primary practice location
2101 Elm Street N
Pathology 113
Fargo, ND 58102-2417
Mailing address
2101 Elm St N Dept 113
Fargo, ND 58102-2417
Phone (701) 239-3700
Other providers in Fargo, ND
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- Blue Eye Inc
- Blue Water Therapy, LLC
- Elizabeth R Blue
- Jennifer Blue
- Candice A Blumhardt
All providers in Fargo, ND · Anatomic Pathology & Clinical Pathology Physician 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 Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.