Active NPI
David Gordon Affleck, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 24469
- Practice address
- 222 N 7TH St
Bismarck, ND 58501-4436 - Phone
- (701) 323-6000
- Fax
- (701) 323-6249
- NPI assigned
- Aug 17, 2005
- Last updated
- May 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 346120-1206 | UT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 24469 | ND | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 3461201205 | UT |
Addresses
Primary practice location
222 N 7TH St
Bismarck, ND 58501-4436
Mailing address
PO Box 281490
Atlanta, GA 30384-1490
Other practice location 1
1160 E 3900 S
Suite 3500
Salt Lake City, UT 84124-1202
Phone (801) 743-4750
Other practice location 2
300 N 7th St
Bismarck, ND 58501-4439
Phone (701) 323-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134332141 | Other | UT | TAX IDENTIFICATION |
| D5506 | Medicaid | UT | |
| P00424176 | Other | UT | RR MEDICARE |
| PENDING | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daffleck2991@epicmtn.hcadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- University of Utah School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1160 E 3900
Suite 3500
Salt Lake City, UT 84124-1264
Phone (801) 743-4750
1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 268-7111
300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
Hospital & facility affiliations
- Ability Home Health
- True North Home Health
- Applegate Homecare
- St Mark's Hospital
- Lakeview Hospital
- Ogden Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 11 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346120-1206 | UT | MD | Vascular Surgery Physician |
| 24469 | ND | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 3461201205 | UT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Mountainstar Cardiology St Marks LLC | Past | Accepting new patients |
Locations
5405 S 500 E
Ste 200
Ogden, UT 84405
Phone (801) 476-6900
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
1160 E 3900 S
Ste 3500
Salt Lake Cty, UT 84124
Phone (801) 476-6900
1160 E 3900 S
Ste 2000
Slc, UT 84124
Phone (801) 266-3418
Organizations & group practices 3
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.
-
dba MountainStar Cardiovascular Surgery
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Salt Lake City, UT
- NPI 1689721219
-
dba Heart Center at St Mark's
- Interventional Cardiology Physician
- Salt Lake City, UT
- NPI 1437446168
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ogden, UT
- NPI 1649223256
-
dba Ogden Regional Medical Center
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
dba Lakeview Hospital
- General Acute Care Hospital
- Bountiful, UT
- NPI 1528010451
-
dba St. Mark's Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
-
dba True North Home Health
- Home Health Agency
- South Salt Lake, UT
- NPI 1851303390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1710979653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281490",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014436",
"telephone_number": "701-323-6000",
"fax_number": "701-323-6249"
}
],
"practiceLocations": [
{
"address_1": "1160 E 3900 S",
"address_2": "SUITE 3500",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841241202",
"country_code": "US",
"telephone_number": "801-743-4750",
"fax_number": "801-743-4765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 N 7th St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585014439",
"country_code": "US",
"telephone_number": "701-323-6000",
"fax_number": "701-323-5918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFFLECK",
"first_name": "DAVID",
"middle_name": "GORDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "UT",
"license": "346120-1206",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "ND",
"license": "24469",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "UT",
"license": "3461201205",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "134332141",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5506",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00424176",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daffleck2991@epicmtn.hcadirect.net",
"affiliation": "N",
"address_1": "1160 E 3900 S",
"address_2": "SUITE 3500",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841241202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bismarck, ND
- Advanced Physical Therapy and Fitness, LLC
- Advanced Physical Therapy and Fitness, LLC (Advanced Physical Therapy)
- Advanced Surgical Arts Center, PC
- Melanie Aeschliman
- Aesthetic Center of Plastic Surgery
- Isaac Afoakwa
- Udit Agarwal
- Agents of Transitional Living LLC
- Samuel Aguhob, MD
- Jessica L Ahmann, DNP, APRN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.