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Ronald Allen Synstelien

Physician β€’ Fergus Falls, MN

Deactivated NPI 1306190509 Deactivated in NPPES Male Practitioner
Practice location in NPPES

607 E Fir Ave
Fergus Falls, MN 565371503

Phone: 2182053286

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 22, 2021; the reason is not published. The records below are historical. They do not show whether Ronald Synstelien currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 09, 2012
NPI Deactivation Date January 22, 2021
NPI Active Period 2012 – 2021

Practice Location & Contact Primary Location

Practice Address

607 E Fir Ave

Fergus Falls, MN 565371503

Telephone 2182053286

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Fergus Falls and Minnesota

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320600000X

License # reported to NPPES MN 1064678-1-AFC

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated January 22, 2021

NPPES lists this NPI as deactivated as of January 22, 2021; the reason is not published.

βœ…
NPI Profile Active November 09, 2012

NPI status registered as active in NPPES database

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Practice Location (Initial Record) November 09, 2012

Registered at 607 E FIR AVE, FERGUS FALLS, MN 565371503 (Tel: 2182053286)

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Business Mailing Address (Initial Record) November 09, 2012

Registered at 607 E FIR AVE, FERGUS FALLS, MN 565371503 (Tel: 2182053286)

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Provider Name / Credentials (Initial Record) November 09, 2012

Recorded as RONALD SYNSTELIEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2012

Residential Treatment Facility, Intellectual and/or Developmental Disabilities (license number reported to NPPES: MN 1064678-1-AFC)

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Initial NPI Registration & Enumeration November 09, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306190509
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2012
Last Update: November 09, 2012
Deactivation Date: January 22, 2021

Mailing Address

607 E Fir Ave

Fergus Falls, MN 565371503

Phone: 2182053286

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.