NPIMap

Organization Active NPI

Family Medical Clinic PC

  • Family Medicine Physician
  • Lisbon, ND
National Provider Identifier
1952331159
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4909 Issued in ND
Legal business name
FAMILY MEDICAL CLINIC PC
Practice address
10 9TH Ave E
Lisbon, ND 58054
Phone
(701) 683-4711
Fax
(701) 683-3205
NPI assigned
Jul 4, 2006
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. Barbara Sheets Olson, MDNPI 1477538775
Title
President
Phone
(701) 683-4711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4909 ND Primary

Addresses

Primary practice location

10 9TH Ave E
Lisbon, ND 58054

Mailing address

10 9TH Ave E
PO Box 1049
Lisbon, ND 58054
Phone (701) 683-4711

Other identifiers 3

IdentifierTypeStateIssuer
1956001OtherNDNDBS
05171MedicaidND
13746MedicaidND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1952331159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 9TH AVE E",
            "address_2": "PO BOX 1049",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "58054",
            "telephone_number": "701-683-4711",
            "fax_number": "701-683-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 9TH AVE E",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "58054",
            "telephone_number": "701-683-4711",
            "fax_number": "701-683-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "SHEETS OLSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-683-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "4909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NDBS",
            "identifier": "1956001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05171",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13746",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.