Physician Management Services of North Dakota, LLC
NPI 1093562431ActiveOrganization· Family Medicine· Park River, ND
Family Medicine in Park River, North Dakota, registered in NPPES in May 2024, part of Vaxcare Corporation. The authorized official on file is Brett Kenefick, President.
Overview
| NPI | 1093562431 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vaxcare Corporation |
| NPI issued | May 3, 2024 |
| Last updated in NPPES | Aug 28, 2024 |
| Certified by provider | Aug 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other family medicine physicians in Park River
- 1528138542
- 1841374030