North Dakota Medical Specialists P.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH DAKOTA MEDICAL SPECIALISTS P.C

Practice address

3523 45TH Street South
Ste 100
Fargo, ND 58104

Phone

(800) 557-8950

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Hirenkumar Italia

Title

MD

Phone

(800) 557-8950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1659047876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROLLINS AVE STE 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH STREET SOUTH",
            "address_2": "STE 100",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "800-557-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAKOTA MEDICAL SPECIALISTS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "ITALIA",
        "authorized_official_first_name": "HIRENKUMAR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "800-557-8950"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Norris
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• North Dakota Anesthesia Services PLLC
• North Dakota Assistive
• North Dakota Center for Weight Management, PLLC
• North Dakota State University
• North Dakota State University
• North Dakota State University
• North Dakota State University
• North Prarie Pharmacies LLC

• Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.