Provider Demographics
NPI:1689608267
Name:HUNT, DANIEL S (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5815207P00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND16205Medicaid
NDND200025OtherLHS #
ND50280HUOtherMNBS #
ND676601OtherAMERICA'S PPO/ARAZ #
ND54Q03HUOtherMNBS #
ND53Q99HUOtherMNBS #
NDDA9011015542OtherPREFERRED ONE #
ND142017OtherSIOUX VALLEY #
ND3901622OtherMEDICA #
ND669295800Medicaid
ND9358OtherNDBS #
NDHP49126OtherHEALTHPARTNERS #
ND17396OtherNDBS #
ND54Q02HUOtherMNBS #
ND17396OtherNDBS #
ND3901622OtherMEDICA #
ND142017OtherSIOUX VALLEY #
ND9358Medicare ID - Type UnspecifiedND MEDICARE #
ND669295800Medicaid