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ADVANCED FOOT & ANKLE
NPI 1720633373
Podiatrist - Primary Podiatric Medicine in Fargo, ND

Active since August 09, 2019
4450 31ST AVE S STE 102, FARGO, ND 58104(763) 218-4771(701) 205-4593 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 2, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About Advanced Foot & Ankle NPPES

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

ADVANCED FOOT & ANKLE (NPI 1720633373) is a healthcare organization registered as a primary podiatric medicine in Fargo, North Dakota and active in the NPI registry since August 2019. The organization lists Mark Edward Domaas, President, as its authorized official.

NPPES Registry Identity

NPI1720633373
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameMARK E DOMAAS LLC
Location Address4450 31ST AVE S STE 102Fargo, ND 58104-4557
Mailing Address4450 31st Ave S Ste 102Fargo, ND 58104-4557 · (701) 561-3312 · Fax (701) 232-5578
Phone(763) 218-4771
Fax(701) 205-4593
Organization SubpartNo
Authorized OfficialMark Edward DomaasPresident · (701) 561-3312
Enumeration DateAugust 9, 2019
Last NPPES UpdateApril 28, 20202 updates tracked since enumeration
NPPES CertifiedApril 28, 2020
✔ NPI 1720633373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
4450 31ST AVE S STE 102, Fargo, ND 58104
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Other Names 1

Other NameAdvanced Foot & Ankle

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 8

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

BRENT M HELLA M.D.
Internal Medicine
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033
STEVEN GLENN CLEMENSON MD
Internal Medicine
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033
JENIFER E JONES-DEES MD
Pediatrics
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033
KATHRYN GRAY PA-C
Physician Assistant (Medical)
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033
DR. DENISE M SCHUMACHER MD
Obstetrics & Gynecology
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (012) 802-0337
MICHAEL BLANKINSHIP
Dermatology
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033
INTERNAL MEDICINE ASSOCIATES INC
Internal Medicine
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033
VICTORIA KAYE PUNTON
Physician Assistant
4450 31ST AVE S STE 102
FARGO, ND 58104
Cass County (701) 280-2033

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 Mark E Domaas LLC's NPI number?

The NPI number for Mark E Domaas LLC is 1720633373. It was assigned to this organization in the NPPES registry on August 9, 2019. The provider is also known as Advanced Foot & Ankle.

Where is Mark E Domaas LLC located?

Mark E Domaas LLC is located at 4450 31st Ave S Ste 102, Fargo, ND 58104. The listed phone number is (763) 218-4771.

What is Mark E Domaas LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Mark E Domaas LLC was last updated on April 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.