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MS. TRACIE MARIE MALLBERG- SYLVESTER M.D. NPI 1871502740


NPI Information

NPI: 1871502740
Provider Name: MS. TRACIE MARIE MALLBERG- SYLVESTER, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: RED RIVER VALLEY HEALTH CARE PC

PECOS Registration: Yes

Address:
1701 38TH ST S STE 101
FARGO, ND
ZIP 58103
Phone: (701) 356-1500
Get Directions

MS. Tracie Marie Mallberg- Sylvester, M.D. is a family medicine in Fargo, ND with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MS. Tracie Marie Mallberg- Sylvester, M.D. NPI is 1871502740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

1701 38TH ST S STE 101
FARGO, ND
ZIP 58103-499
Phone: (701) 356-1500
Fax: (701) 356-1596

The NPI 1871502740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 10/28/2021.


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
1207Q00000XFamily Medicine46245MINNESOTANo
2207Q00000XFamily Medicine9395NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1490K2MAOTHERMINNESOTABLUE CROSS BLUE SHIELD
2156629600MEDICAIDMINNESOTA

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: 11/14/2023

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.