Dr. Joel Floyd Schock IV, M.D.
Family Medicine in Fargo, ND. Individual provider (NPI-1).
NPI number1790789576
StatusActive
Last updated in NPPESOct 15, 2010
Details
- NPI
- 1790789576
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel Floyd Schock IV
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2005
- Last updated
- Oct 15, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4892 | ND | Yes |
| 207Q00000X | Family Medicine | 29157 | MN |
Practice location
3290 20th St SFargo, ND 58104-5917
Phone 701-499-4800 · Fax 701-451-9452
Mailing address
3290 20th St SFargo, ND 58104-5917
Phone 701-499-4800 · Fax 701-451-9452
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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