Active NPI
Travis Waswick, MD
- Family Medicine Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14381
- Practice address
- 725 Hamline St.
Grand Forks, ND 58203 - Phone
- (701) 780-6800
- NPI assigned
- May 27, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14381 | ND | Primary |
| Family Medicine Physician | 207Q00000X | RL13690 | ND |
Addresses
Primary practice location
725 Hamline St.
Grand Forks, ND 58203
Mailing address
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
Other practice location 1
725 Hamline St
Grand Forks, ND 58203-2819
Phone (701) 780-6810
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
725 Hamline St
Grand Forks, ND 58203-2819
Phone (701) 780-6800
Hospital & facility affiliations
- Altru'S Home Health
- Altru Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14381 | ND | MD | Family Medicine 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 | Family Medicine | Current | Accepting new patients |
Locations
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
42 6th Ave SE
Mayville, ND 58257
Phone (701) 786-3800
600 1st St SE
Mayville, ND 58257
Phone (701) 786-4500
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 and National Provider Directory roles.
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Home Health Agency
- Grand Forks, ND
- NPI 1346339850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1831578541",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HAMLINE ST.",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58203",
"telephone_number": "701-780-6800"
}
],
"practiceLocations": [
{
"address_1": "725 Hamline St",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582032819",
"country_code": "US",
"telephone_number": "701-780-6810",
"fax_number": "701-780-6860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASWICK",
"first_name": "TRAVIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "14381",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL13690",
"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 Aug 10, 2023; 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.