Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1154384493 Deactivated / Inactive NPI Male Practitioner

Dr. Michael David Sornson , MD

Specialist • Fargo, ND

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Sornson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2006
NPI Deactivation Date March 13, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sornson, MD was a registered Specialist practicing in Fargo, ND. Throughout an active medical career spanning 18 years, Dr. Sornson provided care at the practice location at 3000 32ND AVE S until profile deactivation on 2024-03-13.

Historical Medicare Part B clinical services included anesthesia for procedure for total knee joint replacement, anesthesia for procedure on large bowel using an endoscope, ultrasonic guidance imaging supervision and interpretation for insertion of needle. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3000 32nd Ave S

Fargo, ND 581036132

Telephone 7013648000
Fax 7013648078
Associated Practice Facility / Clinic
🏢 Dakota Specialty Institute Facility NPI 1851388961

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 24.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Fargo, ND (203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
01402 Anesthesia for procedure for total knee joint replacement
14 14 $703.21 $270.28
00811 Anesthesia for procedure on large bowel using an endoscope
12 12 $366.67 $140.15

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M8737

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Zena Homan , MD

Obstetrics & Gynecology

NPI 1003006651

Doctor of Medicine (M.D.)

Dr. Adam Defoe , MD

Radiology - Diagnostic Radiology

NPI 1003044975

Doctor of Medicine (M.D.)

Leslie Myer , OTR, L

Occupational Therapist

NPI 1003222878

Occupational Therapist Registered, L

NPI 1013295260

Doctor of Medicine (M.D.)

Nicholas Frederiksen , APRN, CNP

Nurse Practitioner - Adult Health

NPI 1013319334

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1013560473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
⚠️
NPI Profile Deactivated March 13, 2024

Record deactivated on March 13, 2024

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2024

Anesthesiology (License #10852 in ND)

📍
Updated Business Mailing Address January 06, 2020

Registered at 2421 E SOUTHERN AVE, STE 7, TEMPE, AZ 852827612 (Tel: 7013643300)

NPI Profile Active June 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2012

Registered at 3000 32ND AVE S, FARGO, ND 581036132 (Tel: 7013648000)

📍
Updated Business Mailing Address June 12, 2012

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

👤
Provider Name / Credentials Updated June 12, 2012

Recorded as MICHAEL SORNSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2012

Specialist (License #M8737 in ID)

🟢
Initial NPI Registration & Enumeration April 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Sornson. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Sornson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154384493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2006
Last Update: June 12, 2012
Deactivation Date: March 13, 2024

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7013643300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.