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Pam Physician Enterprise

NPI 1962856161ActiveOrganization· Physical Medicine & Rehabilitation· Fargo, ND

Physical Medicine & Rehabilitation in Fargo, North Dakota, registered in NPPES in April 2016. The authorized official on file is Adam Burick, Cmo/Authorized Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1962856161
StatusActive
Entity typeOrganization
NPI issuedApr 14, 2016
Last updated in NPPESAug 31, 2022
Certified by providerAug 31, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (ND); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other physiatrists in Fargo

All 16 physiatrists in Fargo · All physiatrists in North Dakota