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CARL JOHN FEDYSZYN, M.D.,P.C.
NPI 1679619860
Family Medicine in Fargo, ND

Active since January 29, 2007
4550 47TH ST S APT 102, FARGO, ND 58104(701) 330-9616 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl John Fedyszyn, M.d.,p.c. NPPES

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

CARL JOHN FEDYSZYN, M.D.,P.C. (NPI 1679619860) is a healthcare organization registered as a family medicine in Fargo, North Dakota and active in the NPI registry since January 2007. The organization lists Carl John Fedyszyn, President, as its authorized official.

NPPES Registry Identity

NPI1679619860
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARL JOHN FEDYSZYN, M.D.,P.C.
Location Address4550 47TH ST S APT 102Fargo, ND 58104-4360
Mailing Address4550 47th St S Apt 102Fargo, ND 58104-4360 · (701) 330-9616
Phone(701) 330-9616
Organization SubpartNo
Authorized OfficialCarl John FedyszynPresident · (701) 330-9616
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1679619860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · 7326
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.
4550 47TH ST S APT 102, Fargo, ND 58104
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Other Identifiers 4

Medicare PIN22615
Medicaid12146ND
Medicare ID-Type Unspecified711183Group Provider
Medicare UPING15924

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

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 Carl John Fedyszyn, M.D.,p.C.'s NPI number?

The NPI number for Carl John Fedyszyn, M.D.,p.C. is 1679619860. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Carl John Fedyszyn, M.D.,p.C. located?

Carl John Fedyszyn, M.D.,p.C. is located at 4550 47th St S Apt 102, Fargo, ND 58104. The listed phone number is (701) 330-9616.

What is Carl John Fedyszyn, M.D.,p.C.'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 Carl John Fedyszyn, M.D.,p.C. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.