OrganizationActive
Sanford Medical Center Fargo
NPI 1548540826 · Geriatric Medicine (Internal Medicine) Physician · Fargo, ND
Provider details
- NPI number
- 1548540826
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martha Leclerc, Vice President(701) 234-6248
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4420 37th Ave S
Fargo, ND 58104-3400
Phone: (701) 365-4746
Approximate (ZIP-level) locationGet directions
Mailing address
4420 37th Ave S
Fargo, ND 58104-3400
Other names (DBA / former)
- Doing business as
- Sanford Health Edgewood Vista Clinic
- Doing business as
- Sanford Health Edgewood Vista Clinic
Registry dates
- Enumerated
- 2011-08-18
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.