GODELA R IVERSON MD NPI 1770513970

NPI Information

NPI: 1770513970
Provider Name: GODELA R IVERSON, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

Address:
3000 32ND AVE S
FARGO, ND
ZIP 58103
Phone: (701) 364-8000
Get Directions

Godela R Iverson, MD is an infectious disease internal medicine in Fargo, ND. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Godela R Iverson, MD NPI is 1770513970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 32ND AVE S
FARGO, ND
ZIP 58103-132
Phone: (701) 364-8000
Fax: (701) 364-8078

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0200X	Internal Medicine	Infectious Disease	28275	MINNESOTA	No
2	207RI0200X	Internal Medicine	Infectious Disease	3278	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4864	OTHER	NORTH DAKOTA	NDBS #
2	50168IV	OTHER	MINNESOTA	MNBS #
3	ND200028	OTHER	NORTH DAKOTA	LHS #
4	DA9011015543	OTHER	NORTH DAKOTA	PREFERRED ONE #
5	902104	OTHER	NORTH DAKOTA	AMERICA'S PPO/ARAZ #
6	D28612	MEDICARE UPIN	NORTH DAKOTA
7	4864	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	NE MEDICARE #
8	10750	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
9	9200119	OTHER	NORTH DAKOTA	MEDICA #
10	2580	OTHER	MINNESOTA	NDBS #
11	9200082	OTHER	NORTH DAKOTA	MEDICA #
12	HP25778	OTHER	NORTH DAKOTA	HEALTHPARTNERS #
13	142019	OTHER	NORTH DAKOTA	UCARE #
14	91481IV	OTHER	NORTH DAKOTA	MNBS #
15	10750	OTHER	NORTH DAKOTA	NDBS #
16	1022	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
17	1022	OTHER	NORTH DAKOTA	NDBS #
18	12383	MEDICAID	NORTH DAKOTA

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

NPI Synchronization or Removal

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