MRS. GLORIA A ADJEKUM (NPI# 1548495534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548495534 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA A ADJEKUM |
| Credential | MD |
| Practice Address |
1380 S Columbia Rd - Altru Family Medicine Center Grand Forks ND 58201 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017952000 |
| Practice Fax Number | 2129394022 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 11940 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
1380 S COLUMBIA RD - ALTRU FAMILY MEDICINE CENTER |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801888334 | Frank J Shelton | Pediatrics | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2005-08-19 |
| 1821483728 | Brendan Mckay Boe | Obstetrics & Gynecology | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2015-03-30 |
| 1801141049 | Jessica Marie Kotrba | Nurse Practitioner | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2012-07-13 |
| 1225268469 | Christine S Lauzon | Nurse Practitioner | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2009-07-22 |
| 1619107380 | Collette Rae Lessard | Obstetrics & Gynecology | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2009-07-16 |
| 1093943656 | Andrea M. Eickenbrock | Obstetrics & Gynecology | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201-4059 | 2009-06-22 |
| 1578754388 | Brian Mathew Wildey | Obstetrics & Gynecology | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2007-08-06 |
| 1184821985 | Pierre A Barbot | Obstetrics & Gynecology | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2007-06-27 |
| 1629270608 | Mohammad Amin Adie | Pediatrics | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2007-06-01 |
| 1083838411 | Joshua Richard Deere | Family Medicine | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164518429 | Lori A Sondrol | Pediatrics | 1380 S Columbia Rd - Altru Family Medical Center, Grand Forks, ND 58201 | 2006-10-05 |
| 1396836193 | Bernard Jerome Hoggarth | Pediatrics | 1000 S Columbia Road, Grand Forks, ND 58206-6002 | 2006-09-27 |
| 1558452359 | Eric R Lunn | Pediatrics | 212 S 4th St Ste 301, Grand Forks, ND 58201-4776 | 2006-09-27 |
| 1801888334 | Frank J Shelton | Pediatrics | 1380 S Columbia Rd - Altru Family Medicine Center, Grand Forks, ND 58201 | 2005-08-19 |
| 1750735106 | Thuy Nguyen | Pediatrics | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2016-04-21 |
| 1295120202 | Seyed Morteza Mahmoudi | Pediatrics | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2015-04-06 |
| 1982043154 | Chukwuebuka Okafor | Pediatrics | 1200 S Columbia Rd- Altru Hospital, Grand Forks, ND 58201-4036 | 2013-06-20 |
| 1356692339 | Miltiadis Douvoyiannis | Pediatrics | 1380 S Columbia Rd, Grand Forks, ND 58201-4059 | 2012-10-01 |
| 1841553427 | James A Miles | Pediatrics | 1300 South Columbia Road, Grand Forks, ND 58201 | 2012-06-19 |
| 1245406339 | Erin Elizabeth King | Pediatrics | 1000 South Columbia Road, Grand Forks, ND 58206-6002 | 2008-05-07 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.