SANFORD ROGER MARIS CANCER CENTER
NPI 1255611554
Internal Medicine - Hematology & Oncology in Fargo, ND

Q: What is Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1255611554. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Roger Maris Cancer Center.

Q: What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 18, 2011

820 4TH ST N, FARGO, ND 58102(701) 234-6161 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sanford Roger Maris Cancer Center NPPES

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

SANFORD ROGER MARIS CANCER CENTER (NPI 1255611554) is a healthcare organization registered as a hematology & oncology in Fargo, North Dakota and active in the NPI registry since August 2011. The organization lists Martha Leclerc, Vice President, as its authorized official.

NPPES Registry Identity

NPI1255611554

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameSANFORD MEDICAL CENTER FARGO

Location Address820 4TH ST NFargo, ND 58102-4539

Mailing Address820 4th St NFargo, ND 58102-4539 · (701) 234-6161

Phone(701) 234-6161

Organization SubpartNo

Authorized OfficialMartha LeclercVice President · (701) 234-6248

Enumeration DateAugust 18, 2011

Last NPPES UpdateNovember 27, 2023

✔ NPI 1255611554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X

Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X

820 4TH ST N, Fargo, ND 58102

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Other Names 1

Doing Business AsSanford Roger Maris Cancer Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

GERALD G GROSS MD

Internal Medicine (Hematology & Oncology)

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-6161

PAULINE HOLMAN MS, CGC

Genetic Counselor, MS

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-7634

AMIT PANWALKAR

Internal Medicine (Hematology & Oncology)

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-6161

HARITHA REDDY MOPURU MD

Internal Medicine (Hematology & Oncology)

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-6161

ISAAK NATHANIEL AILTS MD

Internal Medicine

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-6161

JARRETT FAILING M.D.

Internal Medicine (Hematology & Oncology)

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-6161

LISA ANN BRAUN NP

Nurse Practitioner

820 4TH ST N
FARGO, ND 58102

Cass County (701) 234-6161

OLUWATOBI EZEKIEL ODETOLA MBBS

Internal Medicine (Hematology & Oncology)

820 4TH ST N
FARGO, ND 58102

Cass County (012) 346-1617

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 Sanford Medical Center Fargo's NPI number?

The NPI number for Sanford Medical Center Fargo is 1255611554. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Sanford Roger Maris Cancer Center.

Where is Sanford Medical Center Fargo located?

Sanford Medical Center Fargo is located at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Sanford Medical Center Fargo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Sanford Medical Center Fargo was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.