JEFFREY K LYSTAD MD
NPI 1710904487
Family Medicine - Sports Medicine in Fargo, ND

Active since July 17, 2006
2301 25TH ST S, FARGO, ND 58103(701) 237-9712 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey K Lystad Md NPPES

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

JEFFREY K LYSTAD MD (NPI 1710904487) is an individual sports medicine provider in Fargo, North Dakota, licensed in North Dakota (7448) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710904487
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJEFFREY K LYSTADCredential: MD
Location Address2301 25TH ST SFargo, ND 58103-6104
Mailing Address2301 25th St SFargo, ND 58103-6104 · (701) 237-9712
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 29, 2011
NPI 1710904487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in ND · 7448
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2301 25TH ST S, Fargo, ND 58103

Other Identifiers 2

Medicare PINN13892ND
Medicare UPING08389

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.

Orthopaedic Surgery
2301 25TH ST S, SUITE I
FARGO, ND 58103
Nurse Anesthetist, Certified Registered
2301 25TH ST S, STE K
FARGO, ND 58103
Nurse Anesthetist, Certified Registered
2301 25TH ST S, STE K
FARGO, ND 58103
Orthopaedic Surgery
2301 25TH ST S
FARGO, ND 58103
Physician Assistant
2301 25TH ST S, SUITE A
FARGO, ND 58103
Occupational Therapist
2301 25TH ST S, SUITE B
FARGO, ND 58103
Occupational Therapist
2301 25TH ST S, SUITE B
FARGO, ND 58103
Physical Therapist
2301 25TH ST S, SUITE B
FARGO, ND 58103

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 Jeffrey Lystad's NPI number?

The NPI number for Jeffrey Lystad is 1710904487. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jeffrey Lystad located?

Jeffrey Lystad practices at 2301 25th St S, Fargo, ND 58103. The listed phone number is (701) 237-9712.

What is Jeffrey Lystad's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Jeffrey Lystad was last updated on November 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.