DR. KATHLEEN ANN WOOD (NPI# 1114942372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114942372 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ANN WOOD |
| Credential | MD |
| Practice Address |
705 13th Ave N Apt. 310 Fargo ND 58102-2680 |
| Practice Telephone | 2187790533 |
| Mailing Telephone | 2187790533 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4980 | ND | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 4980 | ND | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982167888 | Kathleen Wood | Behavioral Analyst | 1286 Scarlet Oak Cir, Vero Beach, FL 32966-4738 | 2019-04-09 |
| 1851466676 | Kathleen Ann Wood | Physical Therapist | 6700 Route 83, Willowbrook, IL 60527 | 2006-11-21 |
| 1447241948 | Kathleen P Wood | Nurse Practitioner | 4448 York Blvd, Los Angeles, CA 90041-3328 | 2005-11-03 |
| 1063058659 | Kathleen Wood | Behavior Technician | 95 Farley Ave, Fanwood, NJ 07023-1004 | 2019-11-19 |
| 1366805830 | Kathleen Patricia Wood | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2016-04-01 |
| 1932430162 | Kathleen Allys Wood | Physical Therapy Assistant | 5514 Atascocita Rd, Suite 160, Humble, TX 77346-2968 | 2010-01-28 |
| 1518164904 | Kathleen Marie Wood | Occupational Therapist | 835 Madison Ave N, Bainbridge Island, WA 98110-1700 | 2007-06-28 |
| 1700932720 | Kathleen Mary Wood | Speech-Language Pathologist | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2007-01-25 |
| 1437210721 | Kathleen M Wood | Counselor | 15145a Lakeshore Dr, Clearlake, CA 95422-8106 | 2006-12-12 |
| Street Address |
705 13TH AVE N APT. 310 |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267812 | Francisco V Ouano | Radiology | 2907 32nd St S, Fargo, ND 58103-7863 | 2006-07-17 |
| 1649251224 | Martha Slade Kearns | Radiology | 23 Briarwood Pl, Fargo, ND 58104-7308 | 2005-11-09 |
| 1528062924 | Mark F Fisher | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2005-06-13 |
| 1588078513 | Michael Samuel Lucin | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2014-06-18 |
| 1447661285 | Tarik Nurkic | Radiology | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2014-05-14 |
| 1528328754 | Matthias M Albin | Radiology | 3000 32nd Ave S, Fargo, ND 58103 | 2012-05-22 |
| 1437418993 | Safia Hope Cheeney | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2012-05-03 |
| 1922396993 | Adam F Stibbe | Radiology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2011-07-12 |
| 1568754521 | Aaron Richard Jones | Radiology | 3000 32nd Ave S, Department of Radiology, Essentia Health, Fargo, ND 58103-6132 | 2011-05-10 |
| 1881985182 | Thomas Philip Kennedy | Radiology | 801 Broadway N, Fargo, ND 58102-3641 | 2011-04-21 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.