Sanford Clinic North

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SANFORD CLINIC NORTH

Practice address

2400 32ND Ave S
Fargo, ND 58103-5800

Phone

(701) 234-8800

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Martha K Leclerc

Title

VP

Phone

(701) 234-6248

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Sanford Southpointe Clinic Doing business as

Electronic endpoints 1

Tax ID family

Womens Med Imaging Mobile31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

• Sanford Clinic North

  • Clinical Neuropsychologist
  • Fargo, ND
  • NPI 1023030046
  NPD tax ID
• Sanford Clinic North

  • Pediatrics Physician
  • Fargo, ND
  • NPI 1033147046
  NPD tax ID
• Sanford Clinic North

  • Pharmacy
  • Fargo, ND
  • NPI 1053913970
  NPD tax ID
• Sanford Clinic North

  • Family Medicine Physician
  • Hillsboro, ND
  • NPI 1114272028
  NPD tax ID
• Sanford Clinic North

  • Clinical Child & Adolescent Psychologist
  • Fargo, ND
  • NPI 1124218961
  NPD tax ID
• Sanford Clinic North

  • Internal Medicine Physician
  • Valley City, ND
  • NPI 1144262858
  NPD tax ID
• Sanford Clinic North

  • Hematology & Oncology Physician
  • Fargo, ND
  • NPI 1174803472
  NPD tax ID
• Sanford Clinic North

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1194751594
  NPD tax ID
• Sanford Clinic North

  • Health Service Clinic/Center
  • Fargo, ND
  • NPI 1255623187
  NPD tax ID
• Sanford Clinic North

  • Infectious Disease Physician
  • Fargo, ND
  • NPI 1265712566
  NPD tax ID
• Sanford Clinic North

  • Internal Medicine Physician
  • Fargo, ND
  • NPI 1417978057
  NPD tax ID
• Sanford Clinic North

  • Internal Medicine Physician
  • Jamestown, ND
  • NPI 1447292826
  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.

• Jessica L Sims, NP-C

  • Nurse Practitioner
  • Fargo, ND
  • NPI 1659617173
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1942238951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035800",
            "telephone_number": "701-234-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035800",
            "telephone_number": "701-234-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CLINIC NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "LECLERC",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "701-234-6248"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734639500",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Southpointe Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Southpointe Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sanford Clinic North
• Sanford Clinic North
• Sanford Clinic North
• Sanford Clinic North
• Sanford Clinic North
• Sanford Health Organization
• Sanford Healthcare Accessories, LLC
• Sanford Healthcare Accessories, LLC
• Sanford Medical Center Fargo
• Sanford Medical Center Fargo

• Internal Medicine Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.