BISMARCK CANCER CENTER
NPI 1538212162
Radiology - Radiation Oncology in Bismarck, ND

NPI Status: Active since January 18, 2007

Contact Information

500 N 8TH ST
BISMARCK, ND
ZIP 58501
Phone: (701) 222-6100
Fax: (701) 222-6150

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  • Organization
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • CLIA Number: 35D2036569
  • CLIA Cert. Type: Other - RADIATION ONCOLOGY CLINIC
  • CLIA Exp. Date: 07-18-2025

About BISMARCK CANCER CENTER

This page provides the complete NPI Profile along with additional information for Bismarck Cancer Center, a provider established in Bismarck, North Dakota operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1538212162 assigned on January 2007. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lolita Dutton (Financial And Support Services Mana)

NPI
1538212162
Provider Name
BISMARCK CANCER CENTER
Entity Type
Organization
Location Address
500 N 8TH ST BISMARCK, ND 58501
Location Phone
(701) 222-6100
Location Fax
(701) 222-6150
Mailing Address
500 N 8TH ST BISMARCK, ND 58501
Mailing Phone
(701) 222-6100
Mailing Fax
(701) 222-6150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-18-2007
Last Update Date
01-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Bronze Share - HMO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - HMO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Share - HMO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,000 - HMO
  • Sanford Individual TRUE $7,100 HSA Qualified - HMO
  • Sanford Individual TRUE $9,200 - HMO
  • Sanford Individual TRUE Standardized $1,500 - HMO
  • Sanford Individual TRUE Standardized $5,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LOLITA DUTTON

Authorized Official Title
FINANCIAL AND SUPPORT SERVICES MANA
Authorized Official Phone
(701) 222-6102

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
24-00390OTHER (01)NDMEDICA
11128MEDICAID (05)ND 
1558450841OTHER (01)NDBCBS OF ND
24-00348OTHER (01)NDMEDICA
N71029MEDICARE ID-TYPE UNSPECIFIED (04)NDOFFICE GROUP MEDICARE
15295MEDICAID (05)ND 
N715227MEDICARE PIN (08)ND 
1356585293OTHER (01)NDBCBS OF ND
G44428MEDICARE UPIN (02)ND 
14991MEDICAID (05)ND 
P00779537OTHER (01)RAIL ROAD MEDICARE
N714489MEDICARE PIN (08)ND 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
35D2036569
Facility Type
Other - RADIATION ONCOLOGY CLINIC
Certificate Effective Date
July 19, 2023
Certificate Expiration Date
July 18, 2025
Laboratory Director
DR. ROBERT REYNOLDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bismarck Cancer Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BISMARCK CANCER CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538212162
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568414112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 4 + 1 + 4 + 1 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1538212162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972571032MS. JOANN MARIE LEAHY MD
Individual
Radiology (Radiation Oncology)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6102
1356585293 TAREK A DUFAN M.D.
Individual
Radiology (Radiation Oncology)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6100
1932240025DR. KATHLEEN A NORDSTROM M.D.
Individual
Radiology (Radiation Oncology)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6100
1285868968MR. ROBERT RAY REYNOLDS M.D.
Individual
Radiology (Radiation Oncology)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6100
1497021158DR. COLE ROBERT KREOFSKY M.D.
Individual
Radiology (Radiation Oncology)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6100
1558450841DR. JOHN MORGAN WATKINS M.D.
Individual
Radiology (Radiation Oncology)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6100
1194553156 TANNER MICHAEL STAVN DNP-FNP
Individual
Nurse Practitioner (Family)500 N 8TH ST
BISMARCK, ND 58501
(701) 222-6100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538212162, enumerated in the NPI registry as an "organization" on January 18, 2007

The provider is located at 500 N 8th St Bismarck, Nd 58501 and the phone number is (701) 222-6100

This medical organization specializes in Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 35D2036569 for a "other - radiation oncology clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.