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 | 261Q00000X | Clinic/Center | | | | 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 | 28G92HI | OTHER | MINNESOTA | MNBCBS GROUP NUMBER |
| 2 | 20056 | MEDICARE ID-TYPE UNSPECIFIED | NORTH DAKOTA | MEDICARE MICHAEL BISHOP |
| 3 | BIS20056 | OTHER | NORTH DAKOTA | BCBSND MICHAEL BISHOP |
| 4 | N20056 | MEDICARE PIN | NORTH DAKOTA | |
| 5 | U88401 | MEDICARE UPIN | NORTH DAKOTA | |
| 6 | U78948 | MEDICARE UPIN | NORTH DAKOTA | |
| 7 | N21948 | MEDICARE PIN | NORTH DAKOTA | |
| 8 | 39D57BI | OTHER | MINNESOTA | IND PRO BCBSMN MICHAEL B |
| 9 | 28G93SM | OTHER | MINNESOTA | IND PROV BCBSMN AIMEE S |
| 10 | 21948 | MEDICARE ID-TYPE UNSPECIFIED | NORTH DAKOTA | MEDICARE AIMEE SMITH |
| 11 | N71141 | MEDICARE PIN | NORTH DAKOTA | |
| 12 | SMI21948 | OTHER | NORTH DAKOTA | BCBSND AIMEE SMITH |
| 13 | 611888 | OTHER | NORTH DAKOTA | ACN PROVIDER |
