| Infinity Medical Management LLC | |
|
310 N 10th St Bismarck ND 58501-4516 | |
| (701) 877-2020 | |
| Not Available |
| Full Name | Infinity Medical Management LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 N 10th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Robert Winandy (CEO) |
| Authorized Official Contact | 7018772020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Medical Management LLC 310 N 10th St Bismarck ND 58501-4516 Ph: (701) 471-9327 | Infinity Medical Management LLC 310 N 10th St Bismarck ND 58501-4516 Ph: (701) 877-2020 |
| NPI Number | 1366116287 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 05/10/2022 |
| Certification Date | 05/10/2022 |
| Medicare PECOS PAC ID | 4183020555 |
|---|---|
| Medicare Enrollment ID | O20210909003186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366116287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 163WA2000X | Registered Nurse - Administrator | () | Secondary |
| Provider Name | Bobbie Burchinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629174701 PECOS PAC ID: 4183520620 Enrollment ID: I20031208000436 |
| Provider Name | Syed Waseem Abbas Zaidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467486969 PECOS PAC ID: 6709862055 Enrollment ID: I20040628000076 |
| Provider Name | James B Ragland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417068420 PECOS PAC ID: 9638104326 Enrollment ID: I20051018001091 |
| Provider Name | Steven Yearsley |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720131451 PECOS PAC ID: 0143252965 Enrollment ID: I20081217000041 |
| Provider Name | Derek D Kane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508942897 PECOS PAC ID: 1557407863 Enrollment ID: I20090929000688 |
| Provider Name | Cathy a Deics |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922271501 PECOS PAC ID: 9638201486 Enrollment ID: I20100714001071 |
| Provider Name | Morgan S Reese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275909244 PECOS PAC ID: 9436459286 Enrollment ID: I20151130000946 |
| Provider Name | Sommer R Wamsley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497205876 PECOS PAC ID: 3779861836 Enrollment ID: I20161025002366 |
| Provider Name | Rebecca Swenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679912133 PECOS PAC ID: 6305075003 Enrollment ID: I20190212000335 |
| Provider Name | Kayla M Cofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023649860 PECOS PAC ID: 9234566647 Enrollment ID: I20200225001433 |
| Provider Name | Ciara Oliger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124809777 PECOS PAC ID: 3779009923 Enrollment ID: I20250430001773 |
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