Pam Physician Enterprise

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PAM PHYSICIAN ENTERPRISE

Practice address

4671 38TH St S
Fargo, ND 58104-7866

Phone

(701) 540-9544

NPI assigned

Apr 14, 2016

Last updated

Aug 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam BurickNPI 1316934391

Title

Cmo/Authorized Director

Phone

(717) 317-9313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, DE, MO, LA, ND, NC, FL, MA, WI, CO, KS11 enrollments

Enrollment records 11

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pam Physician Enterprise

  • Hospitalist Physician
  • Tavares, FL
  • NPI 1962377929

  O20220709000282

  Same enrollment

Locations

Practitioners 79

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.

• Jantey Y Carey, MD

  • Hospitalist Physician
  • Fargo, ND
  • NPI 1396181509

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Scott J Fillmore, MD

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1336146703
  Medicare reassignment Care Compare group NPD
• Aaron Roy Robertson, M.D.

  • Hospitalist Physician
  • Fargo, ND
  • NPI 1043650302

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Bangalore S Vijayalakshmi, MD

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1003843574
  Medicare reassignment Care Compare group NPD
• Kirill Alekseyev, MD, MBA

  • Hospitalist Physician
  • Dover, DE
  • NPI 1386054484

  FL

  Medicare reassignment Care Compare group NPD
• Jeffrey Walter Anderson, D.O.

  • Spinal Cord Injury Medicine Physician
  • Salisbury, MD
  • NPI 1255334454

  DE, Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Matt Y. Bayazitoglu, MD

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1013936715
  Medicare reassignment Care Compare group NPD
• Jenee Lee Bowman, MD

  • Pulmonary Disease Physician
  • Rocky Mount, NC
  • NPI 1346241601
  Medicare reassignment Care Compare group NPD
• Toai Phuoc Bui, DO

  • Physical Medicine & Rehabilitation Physician
  • Round Rock, TX
  • NPI 1053997874
  Medicare reassignment Care Compare group NPD
• Mariam Chowdhry, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1215108337
  Medicare reassignment Care Compare group NPD
• Dolores Contreras Urby, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
  • NPI 1356390744
  Medicare reassignment Care Compare group NPD
• Gabrielle Faye Daniel, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Antonio, TX
  • NPI 1720407828
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1962856161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206478",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4671 38TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047866",
            "telephone_number": "701-540-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 Good Hope Rd",
            "address_2": "102",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251233",
            "country_code": "US",
            "telephone_number": "717-731-9665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294801",
            "country_code": "US",
            "telephone_number": "210-616-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Edgelake Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342408803",
            "country_code": "US",
            "telephone_number": "941-342-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAM PHYSICIAN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "BURICK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CMO/AUTHORIZED DIRECTOR",
        "authorized_official_telephone_number": "717-317-9313"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Sherry Palmer-George, PT, DPT
• Ashley Anne Palmer, MSN, CNM, RN
• Erika Palmer, RN
• Nicole S Palmer
• Pam Cubed Rehabilitation Hospital of Fargo LLC (PAM Rehabilitation Hospital of Fargo)
• Colette Pameijer, M.D.
• Caitlin L. Pandolfo, M.D.
• Sarah Francine Pangelinan, LCSW
• Chelsa Lyn Pansch, LMSW
• Lydia Pansegrau

• Physical Medicine & Rehabilitation Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Medicine & Rehabilitation Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.