1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Internal Medicine
  6. NPI Profile

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

Active since August 18, 2011

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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
Open in Google Maps ↗

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 with the weekly NPPES data releases published by CMS.