Winmar Diagnostics North Central, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

WINMAR DIAGNOSTICS NORTH CENTRAL, INC.

Practice address

2700 12TH Ave S
Ste B
Fargo, ND 58103-8723

Phone

(701) 235-7424

Fax

(701) 239-4792

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Marcia Ann Nelson

Title

Ceo

Phone

(701) 235-7424

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Winmar Diagnostics North Central, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
  • NPI 1114071040

  4880695568

  Same PAC ID
• Winmar Diagnostics North Central, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Grand Forks, ND
  • NPI 1700343639

  4880695568

  Same PAC ID

Tax ID family

Winmar Diagnostics Nort4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Winmar Diagnostics North Central, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
  • NPI 1114071040
  NPD tax ID
• Winmar Diagnostics North Central, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Grand Forks, ND
  • NPI 1700343639
  NPD tax ID
• Winmar Diagnostics North Central

  • Physiological Laboratory
  • Morris, MN
  • NPI 1225083140
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan M Mathison, MD

  • Otolaryngology Physician
  • Fargo, ND
  • NPI 1952469165
  NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1811041270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 12TH AVE S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038723",
            "telephone_number": "701-235-7424",
            "fax_number": "701-239-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 12TH AVE S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038723",
            "telephone_number": "701-235-7424",
            "fax_number": "701-239-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINMAR DIAGNOSTICS NORTH CENTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-235-7424"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410619900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13822",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik Knight Wing, PHD
• Leah Winjum, OTR
• Sue Karen Wink, MD
• Callie Winkels, LSW
• Winmar Diagnostics North Central, Inc.
• Winners Care
• Karla Lynn Winter, LAC, LADC
• Katelin Winter, PT, DPT
• Logan Winter
• Mary Winter

• Physiological Laboratory in Fargo, ND
• Providers in Fargo, ND by specialty
• Physiological Laboratory in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.