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PHYSICIAN MANAGEMENT SERVICES OF NORTH DAKOTA, LLC
NPI 1093562431
Family Medicine in Park River, ND

Active since May 03, 2024
115 VIVIAN ST, PARK RIVER, ND 58270(888) 829-8550 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physician Management Services Of North Dakota, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN MANAGEMENT SERVICES OF NORTH DAKOTA, LLC (NPI 1093562431) is a healthcare organization registered as a family medicine in Park River, North Dakota and active in the NPI registry since May 2024. The organization lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1093562431
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF NORTH DAKOTA, LLC
Location Address115 VIVIAN STPark River, ND 58270-0708
Mailing Address3113 Lawton Rd Ste 250Orlando, FL 32803-3517
Phone(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateMay 3, 2024
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1093562431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

115 VIVIAN ST, Park River, ND 58270
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA LEIGH SKYRUD FNP-C
Nurse Practitioner (Family)
115 VIVIAN ST
PARK RIVER, ND 58270
Walsh County (701) 284-7555
MS. CHRISTINA BATA LRD
Dietitian, Registered
115 VIVIAN ST
PARK RIVER, ND 58270
Walsh County (701) 284-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Management Services Of North Dakota, LLC's NPI number?

The NPI number for Physician Management Services Of North Dakota, LLC is 1093562431. It was assigned to this organization in the NPPES registry on May 3, 2024.

Where is Physician Management Services Of North Dakota, LLC located?

Physician Management Services Of North Dakota, LLC is located at 115 Vivian St, Park River, ND 58270. The listed phone number is (888) 829-8550.

What is Physician Management Services Of North Dakota, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Physician Management Services Of North Dakota, LLC was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.