Soamsiri Niwattisaiwong Endocrinology
2400 32nd S Ave, Fargo, ND 58103-5800


Soamsiri Niwattisaiwong is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1396056123. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 0446566756. The primary specialty is ENDOCRINOLOGY. The organization is SANFORD MEDICAL CENTER FARGO. The address is 2400 32nd S Ave, Fargo, ND 58103-5800. The zip code is 58103.


Soamsiri Niwattisaiwong · 2400 32nd S Ave, Fargo, ND 58103-5800

Nation Provider ID 1396056123
PAC ID by PECOS 0446566756
Professional Enrollment ID I20150901003071
Last Name NIWATTISAIWONG
First Name SOAMSIRI
Gender F
Medical School Name OTHER
Graduation Year 2007
Primary Specialty ENDOCRINOLOGY
Primary Specialty SANFORD MEDICAL CENTER FARGO
Phone Number 7012348800
Group Practice PAC ID 8426967803
Number of Group Practice Members 673
Address 2400 32ND S AVE
FARGO, ND 581035800
Claims Based Hospital Affiliation Claim Control Number (CCN): 350011
Legal Business Name: SANFORD MEDICAL CENTER FARGO
Claims Based Hospital Affiliation Claim Control Number (CCN): 241373
Legal Business Name: PERHAM HEALTH
Claims Based Hospital Affiliation Claim Control Number (CCN): 351309
Legal Business Name: SANFORD MAYVILLE
Claims Based Hospital Affiliation Claim Control Number (CCN): 241300
Legal Business Name: MAHNOMEN HEALTH CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 2400
route: 32nd Avenue South (32nd Ave S)
neighborhood, political: Southpointe
locality, political: Fargo
admin_level_2, political: Cass County
admin_level_1, political: North Dakota (ND)
country, political: United States (US)
postal_code: 58103
postal_code_suffix: 5800
types : premise
latitude: 46.8316605
longitude: -96.8183327
latlng: (46.8316605, -96.8183327)


Sanford Medical Center Fargo · Medicare Physician

Name Address Specialty
Kenneth Stone 2400 32nd S Ave, Fargo, ND 58103-5800 CLINICAL PSYCHOLOGIST
Susan Greene 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Jeffrey Zarling 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Jeremy Herbrandson 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Ann Baumeister 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Meagen Anderson 2400 32nd S Ave, Fargo, ND 58103-5800 PHYSICIAN ASSISTANT
Brian Erenberg 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Jessica Silveri 2400 32nd S Ave, Fargo, ND 58103-5800 NURSE PRACTITIONER
Desiree Zielke 2400 32nd S Ave, Fargo, ND 58103-5800 CLINICAL PSYCHOLOGIST
Kent Moser 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Randall Kenninger 2400 32nd S Ave, Fargo, ND 58103-5800 FAMILY PRACTICE
Cynthia Koenig 2400 32nd S Ave, Fargo, ND 58103-5800 NURSE PRACTITIONER
Thomas Solien 2400 32nd S Ave, Fargo, ND 58103-5800 CHIROPRACTIC
Ryan Holzwarth 2400 32nd S Ave, Fargo, ND 58103-5800 DERMATOLOGY
Scott Phillips 700 1st Ave S, Fargo, ND 58103-1802 NEUROSURGERY
April Qualley 2801 S University Dr, Fargo, ND 58103-6029 NURSE PRACTITIONER
David Flach 2400 32nd S Ave, Fargo, ND 58103-5800 DERMATOLOGY
Nicole Abrahamson 2400 32nd S Ave, Fargo, ND 58103-5800 CERTIFIED REGISTERED NURSE ANESTHETIST
Graham Andrist 801 Broadway N, Fargo, ND 58102-4421 CERTIFIED REGISTERED NURSE ANESTHETIST
Brian Hass 2400 32nd S Ave, Fargo, ND 58103-5800 ANESTHESIOLOGY

Zip 58103 · Endocrinology · Medicare Physician

Name Address Specialty
Varsha Babu 2400 32nd S Ave, Fargo, ND 58103-5800 ENDOCRINOLOGY
David Bybee 1702 University Dr S, Fargo, ND 58103-4940 ENDOCRINOLOGY
David Newman 2400 32nd S Ave, Fargo, ND 58103-5800 ENDOCRINOLOGY
Niyutchai Chaithongdi 2400 32nd Ave S, Fargo, ND 58103-5800 ENDOCRINOLOGY
Juan Munoz 2400 32nd S Ave, Fargo, ND 58103-5800 ENDOCRINOLOGY
Emir Guven 1702 University Dr S, Fargo, ND 58103-4940 ENDOCRINOLOGY
Raul Ruiz Esponda 2400 32nd Ave S, Fargo, ND 58103-5800 ENDOCRINOLOGY

Zip 58103 · Medicare Physician

Name Address Specialty
Ladonna Bannach 3001 11 St S, Fargo, ND 58103-6048 OCCUPATIONAL THERAPY
David Ames 3000 32nd Ave S, Fargo, ND 58103-6132 CERTIFIED REGISTERED NURSE ANESTHETIST
Gary Matthys 3000 32nd Ave S, Fargo, ND 58103-6132 ORTHOPEDIC SURGERY
Mike Traynor 2400 32nd S Ave, Fargo, ND 58103-5800 GENERAL SURGERY
Brenda Reich 2400 32nd Ave S, Fargo, ND 58103-5800 PHYSICIAN ASSISTANT
Lisa Yonker 1500 12th St S, Fargo, ND 58103-4134 PHYSICAL THERAPY
Kraig Condon 4325 13th Ave S, Fargo, ND 58103-3341 CHIROPRACTIC
Justin Severance 2400 32nd S Ave, Fargo, ND 58103-5800 PHYSICIAN ASSISTANT
Anne Keating 3000 32nd Ave S, Fargo, ND 58103-6132 OPHTHALMOLOGY
Mitchell Crider 3000 32nd Ave S, Fargo, ND 58103-6132 DIAGNOSTIC RADIOLOGY
Marilyn Ek 3902 13 Ave S, Fargo, ND 58103-3357 NURSE PRACTITIONER
Donald Soloniuk 700 1st Ave S, Fargo, ND 58103-1802 NEUROSURGERY
Stacy Roers Irmen 2400 32nd S Ave, Fargo, ND 58103-5800 FAMILY PRACTICE
Mariah Fevig 2400 32nd S Ave, Fargo, ND 58103-5800 NURSE PRACTITIONER
James Rougle 2400 32nd S Ave, Fargo, ND 58103-5800 PSYCHIATRY
Joni Klovstad 3001 11 St S, Fargo, ND 58103-6048 OCCUPATIONAL THERAPY
Lance Bergstrom 2601 S University Dr, Fargo, ND 58103-6025 OPHTHALMOLOGY
Jeanne Hall 300 Main Ave, Fargo, ND 58103-1930 PHYSICAL THERAPY
Megan Spencer 3000 32nd Ave S, Fargo, ND 58103-6132 CLINICAL PSYCHOLOGIST
Ashley Huot 2400 32nd S Ave, Fargo, ND 58103-5800 NURSE PRACTITIONER