Organization Active NPI

Viscito Family Medicine, PLLC

  • Family Medicine Physician
  • Grand Forks, ND
National Provider Identifier
1861828212
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10982 Issued in ND
Legal business name
VISCITO FAMILY MEDICINE, PLLC
Practice address
2750 S 26TH St
Suite C
Grand Forks, ND 58201-6432
Phone
(701) 757-1999
Fax
(701) 757-0898
NPI assigned
Sep 17, 2013
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Matthew Stephen Viscito, M.D.
Title
Proprietor
Phone
(701) 757-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10982 ND Primary

Addresses

Primary practice location

2750 S 26TH St
Suite C
Grand Forks, ND 58201-6432

Mailing address

2750 S 26TH St
Suite C
Grand Forks, ND 58201-6432
Phone (701) 757-1999

National Provider Directory

National Provider Directory

Locations

2750 S 26th St
Ste C
Grand Forks, ND 58201
Phone (701) 757-1999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1861828212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S 26TH ST",
            "address_2": "SUITE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016432",
            "telephone_number": "701-757-1999",
            "fax_number": "701-757-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S 26TH ST",
            "address_2": "SUITE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016432",
            "telephone_number": "701-757-1999",
            "fax_number": "701-757-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISCITO FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "VISCITO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "701-757-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10982",
            "primary": true
        }
    ],
    "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 Jan 7, 2014; 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.