1649382292 NPI number — MR. WILLIAM RICHARD NOYES M.D.

Table of content: ELIZABETH ULERY (NPI 1720870553)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649382292 NPI number — MR. WILLIAM RICHARD NOYES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOYES
Provider First Name:
WILLIAM
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649382292
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1451 44TH AVE S, UNIT E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAND FORKS
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58201-3434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-787-5800
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1451 44TH AVE S
Provider Second Line Business Practice Location Address:
UNIT E
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58201-3434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-787-5800
Provider Business Practice Location Address Fax Number:
701-787-5802
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , with the licence number:  39673 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0001X , with the licence number: 6918 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 965522100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 97893 . This is a "PREFERRED ONE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00178255 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P11216603 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18505 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2400209 . This is a "MEDICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 24591 . This is a "BLUE CROSS NORTH DAKOTA" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
  • Identifier: 273L7NO . This is a "BLUE CROSS MINNESOTA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: HP45237 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201200995001 . This is a "UNICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com