| Progress Weight Management PLLC | |
|
3625 Lincoln St S Fargo ND 58104-7765 | |
| (701) 388-3785 | |
| Not Available |
| Full Name | Progress Weight Management PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3625 Lincoln St S, Fargo, North Dakota |
| Authorized Official Name and Position | Cody Baxter (CO-OWNER) |
| Authorized Official Contact | 7013883785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress Weight Management PLLC 3625 Lincoln St S Fargo ND 58104-7765 Ph: (701) 388-3785 | Progress Weight Management PLLC 3625 Lincoln St S Fargo ND 58104-7765 Ph: (701) 388-3785 |
| NPI Number | 1437834256 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 1153783246 |
|---|---|
| Medicare Enrollment ID | O20230822002204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437834256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | () | Primary |
| Provider Name | Amanda Rae Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033657556 PECOS PAC ID: 9032495841 Enrollment ID: I20170410002408 |
| Provider Name | Chelsea a Reich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508268491 PECOS PAC ID: 1951602572 Enrollment ID: I20190329000349 |
| Provider Name | Stephanie L Severson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700264314 PECOS PAC ID: 7012238397 Enrollment ID: I20190823001121 |
| Provider Name | Sarah Ellen Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619697521 PECOS PAC ID: 6103161948 Enrollment ID: I20221103003155 |
| Provider Name | Cody M Baxter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922590181 PECOS PAC ID: 1355690462 Enrollment ID: I20230821003389 |
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