Provider Type Icon

SANFORD MEDICAL CENTER FARGO NPI 1255611554


NPI Information

NPI: 1255611554
Provider Name: SANFORD MEDICAL CENTER FARGO

Doing Business As: SANFORD ROGER MARIS CANCER CENTER

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
820 4TH ST N
FARGO, ND
ZIP 58102
Phone: (701) 234-6161
Get Directions

SANFORD MEDICAL CENTER FARGO is a hematology and oncology internal medicine in Fargo, ND. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SANFORD MEDICAL CENTER FARGO NPI is 1255611554. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Roger Maris Cancer Center.

The provider's business location address is:

820 4TH ST N
FARGO, ND
ZIP 58102-539
Phone: (701) 234-6161

The provider's authorized official is Martha Leclerc .
The authorized official title is Vice President and has the following contact phone number (701) 234-6248.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2207L00000XAnesthesiologyNo
3207Q00000XFamily MedicineNo
42080P0207XPediatricsPediatric Hematology-OncologyNo
52085R0001XRadiologyRadiation OncologyNo
6207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.