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SICKBAY PLLC
NPI 1104525898
General Practice in Mandan, ND

Active since March 01, 2023
4108 39TH AVE NW, MANDAN, ND 58554(701) 426-4291 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sickbay Pllc NPPES

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

SICKBAY PLLC (NPI 1104525898) is a healthcare organization registered as a general practice in Mandan, North Dakota and active in the NPI registry since March 2023. The organization lists Ezra Koch, Member, as its authorized official.

NPPES Registry Identity

NPI1104525898
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSICKBAY PLLC
Location Address4108 39TH AVE NWMandan, ND 58554-1253
Mailing Address4108 39th Ave NwMandan, ND 58554-1253
Phone(701) 426-4291
Organization SubpartNo
Authorized OfficialEzra KochMember · (701) 426-4291
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1104525898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4108 39TH AVE NW, Mandan, ND 58554
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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

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

EZRA KOCH MD
General Practice
4108 39TH AVE NW
MANDAN, ND 58554
Morton County (701) 426-4291

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 Sickbay PLLC's NPI number?

The NPI number for Sickbay PLLC is 1104525898. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Sickbay PLLC located?

Sickbay PLLC is located at 4108 39th Ave NW, Mandan, ND 58554. The listed phone number is (701) 426-4291.

What is Sickbay PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sickbay PLLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.