| Sakakawea Clinic | |
|
510 8th Ave Ne Hazen ND 58545-4637 | |
| (701) 748-2225 | |
| (701) 639-4343 |
| Full Name | Sakakawea Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 510 8th Ave Ne, Hazen, North Dakota |
| Authorized Official Name and Position | Kurt Waldbillig (CEO) |
| Authorized Official Contact | 7017482225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sakakawea Clinic 510 8th Ave Ne Hazen ND 58545-4637 Ph: (701) 748-2225 | Sakakawea Clinic 510 8th Ave Ne Hazen ND 58545-4637 Ph: (701) 748-2225 |
| NPI Number | 1356315220 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 3779558366 |
|---|---|
| Medicare Enrollment ID | O20040827000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356315220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5024A (North Dakota) | Primary |
| Provider Name | Thomas D Kaspari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528046000 PECOS PAC ID: 4688571110 Enrollment ID: I20031215000205 |
| Provider Name | Jacinta-jon T Klindworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814787 PECOS PAC ID: 1355248618 Enrollment ID: I20031215000843 |
| Provider Name | Rodney Leon Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417149279 PECOS PAC ID: 9739088907 Enrollment ID: I20040107000295 |
| Provider Name | Michael L Schmit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740224260 PECOS PAC ID: 9436145547 Enrollment ID: I20040423000473 |
| Provider Name | Robert J Volk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932140050 PECOS PAC ID: 0143220905 Enrollment ID: I20070102000220 |
| Provider Name | Kimberley Binstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881980894 PECOS PAC ID: 3971775404 Enrollment ID: I20111005000817 |
| Provider Name | Debra L Sailer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447548623 PECOS PAC ID: 7113199068 Enrollment ID: I20111018000867 |
| Provider Name | Kayla L Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942624689 PECOS PAC ID: 3173754603 Enrollment ID: I20140327000422 |
| Provider Name | Carl Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902227283 PECOS PAC ID: 5294968822 Enrollment ID: I20140505002262 |
| Provider Name | Rishi Seth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962790832 PECOS PAC ID: 0840411658 Enrollment ID: I20141020002830 |
| Provider Name | Steven F Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750382933 PECOS PAC ID: 9436188505 Enrollment ID: I20150121000200 |
| Provider Name | John R Smetana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164851457 PECOS PAC ID: 7911222898 Enrollment ID: I20150218000008 |
| Provider Name | Michelle J Placke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942648878 PECOS PAC ID: 8426278631 Enrollment ID: I20150729010066 |
| Provider Name | Chassidy Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720475767 PECOS PAC ID: 8022322288 Enrollment ID: I20150731015351 |
| Provider Name | Cassandra Altringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205283090 PECOS PAC ID: 8426344268 Enrollment ID: I20160906000474 |
| Provider Name | Keri J Roemmich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881112886 PECOS PAC ID: 8527324474 Enrollment ID: I20171108002268 |
| Provider Name | Kayla Marie Ternes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396221149 PECOS PAC ID: 3779833322 Enrollment ID: I20180904000119 |
| Provider Name | Siaka Sanneh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073009981 PECOS PAC ID: 2769732825 Enrollment ID: I20180911002268 |
| Provider Name | Kelsey Leigh Striefel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114405230 PECOS PAC ID: 1557606266 Enrollment ID: I20181228001303 |
| Provider Name | Mary Mackenburg Mohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073690012 PECOS PAC ID: 3577716158 Enrollment ID: I20190304001484 |
| Provider Name | Britta Julson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477082097 PECOS PAC ID: 5799056347 Enrollment ID: I20190710002535 |
| Provider Name | Jenny Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891355608 PECOS PAC ID: 9638504103 Enrollment ID: I20200113000220 |
| Provider Name | Abbey Marie Pelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316564115 PECOS PAC ID: 4183048440 Enrollment ID: I20200720001413 |
| Provider Name | Faith H. Eagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003497488 PECOS PAC ID: 1557762598 Enrollment ID: I20210628002211 |
| Provider Name | Ludmil V Lazarov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285826404 PECOS PAC ID: 1254407729 Enrollment ID: I20210715002718 |
| Provider Name | Kelsey Ann Wiseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770072837 PECOS PAC ID: 1456756881 Enrollment ID: I20210824002093 |
| Provider Name | Ann Ruffo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249195 PECOS PAC ID: 7810225653 Enrollment ID: I20220727001690 |
| Provider Name | Amy Lynn Roden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184013153 PECOS PAC ID: 2860713807 Enrollment ID: I20230105002309 |
| Provider Name | Akwaugo Thelma Uzoegwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033506332 PECOS PAC ID: 1254678071 Enrollment ID: I20240603003836 |
| Provider Name | Kelli Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427054105 PECOS PAC ID: 7810951357 Enrollment ID: I20240718001947 |
| Provider Name | Todd Severnak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790775393 PECOS PAC ID: 2567452410 Enrollment ID: I20250319004062 |
| Provider Name | Hitesh Avaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497916415 PECOS PAC ID: 6406028893 Enrollment ID: I20250320003139 |
| Provider Name | Kruti Jitendra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043574262 PECOS PAC ID: 7012232218 Enrollment ID: I20250320003778 |
| Provider Name | Shih-an J Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076290 PECOS PAC ID: 1557485497 Enrollment ID: I20250321003098 |
| Provider Name | Latonia J Moncur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508910142 PECOS PAC ID: 4880889427 Enrollment ID: I20250324001159 |
| Provider Name | Joseph Dominic Scuderi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043292253 PECOS PAC ID: 7517957988 Enrollment ID: I20250324003403 |
| Provider Name | Christopher D Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649269291 PECOS PAC ID: 1850286337 Enrollment ID: I20250401000628 |
| Provider Name | Maanasi Madan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861658874 PECOS PAC ID: 7315007796 Enrollment ID: I20250401000924 |
| Provider Name | Aarti K Attreya-latuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538514799 PECOS PAC ID: 9234422361 Enrollment ID: I20250407000717 |
| Provider Name | Ahmad Alex Hijazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497118244 PECOS PAC ID: 5597052852 Enrollment ID: I20250407001216 |
| Provider Name | Darin Willardsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346230034 PECOS PAC ID: 5395880462 Enrollment ID: I20250410000457 |
| Provider Name | Eric Hyun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831450170 PECOS PAC ID: 8527374388 Enrollment ID: I20250410000580 |
| Provider Name | Chinwe N Oraka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710042395 PECOS PAC ID: 1456548106 Enrollment ID: I20250410000691 |
| Provider Name | Sadia Munawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447649017 PECOS PAC ID: 9335452713 Enrollment ID: I20250410000774 |
| Provider Name | Junienne Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740839513 PECOS PAC ID: 0345657441 Enrollment ID: I20250926003029 |
Sakakawea Hazen Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2256 Fax: 701-748-2257 |
Surge Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway Dr, Hazen, ND 58545 Phone: 701-748-3334 |
Coal Country Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2257 Fax: 701-639-4709 |