LARRY S. SIDAWAY DO – NPI #1841245743
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
LARRY SIDAWAY is a physician located in FARGO, ND. NPPES has assigned the NPI number 1841245743 to LARRY SIDAWAY on May 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY SIDAWAY below.
NPI Profile for
LARRY S. SIDAWAY
(more than 20 years ago)
ESSENTIA HEALTH 32ND AVENUE CLINIC
FARGO, ND 58103-6132 Phone: (701) 364-8000 Fax:
ESSENTIA HEALTH DULUTH CLINIC MCL2CRED
DULUTH, MN 55805-1951 Phone: (218) 786-1183 Fax:
Identifiers for LARRY SIDAWAY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | DAKOTACARE | SD | 4303 |
| OTHER | HEALTH PARTNERS | 36623 | |
| OTHER | MN BCBS - PLAN 91057NO | MN | 36047SI |
| OTHER | PREFERRED ONE | 931451029047 | |
| OTHER | SD BCBS | SD | 0005335 |
| MEDICAID | IA | 0501643 | |
| MEDICAID | MN | 41986380 | |
| MEDICAID | SD | 6003420 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
ND | 6614 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Order Durable Medical Equipment
- Order Power Mobility Devices
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