Active NPI
Frank J Shelton, MD
- Pediatrics Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10709
- Practice address
- 1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201 - Phone
- (701) 795-2000
- Fax
- (701) 780-1942
- NPI assigned
- Aug 19, 2005
- Last updated
- Mar 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10709 | ND | Primary |
| Pediatrics Physician | 208000000X | MD044634E | PA |
Addresses
Primary practice location
1380 S Columbia Rd - Altru Family Medicine Center
Grand Forks, ND 58201
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10709 | ND | MD | Pediatrics Physician |
| MD044634E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients | |
| Altru Health System | Past | Accepting new patients |
Locations
201 E 3rd Ave S
Cavalier, ND 58220
Phone (701) 265-8338
301 Mountain St E
Ste A
Cavalier, ND 58220
Phone (701) 265-4196
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
1000 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5089
1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
-
dba Altru Clinic - East Grand Forks
- Clinic/Center
- East Grand Forks, MN
- NPI 1740621556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1801888334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-780-1891",
"fax_number": "701-780-1942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-795-2000",
"fax_number": "701-780-1942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ND",
"license": "10709",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD044634E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.