NPI 1720440183 · live from the CMS NPI Registry
Jesse Rinehart
Anesthesiology in Fargo, ND. National Provider Identifier 1720440183, active.
NPI record
| NPI | 1720440183 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 5225 23rd Ave S, Fargo, ND 58104 |
| Practice phone | 701-417-2575 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | March 24, 2016 |
| Last updated | August 13, 2020 |
| Sole proprietor | No |
| Other names | Jesse Waldera |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | 16676 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.