MARTHA SLADE KEARNS (NPI# 1649251224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649251224 |
| Entity Type | Individual |
| Full Name | MARTHA SLADE KEARNS |
| Credential | MD |
| Practice Address |
23 Briarwood Pl Fargo ND 58104-7308 |
| Mailing Address |
801 Broadway N Fargo ND 58102-3641 |
| Practice Telephone | 6107701606 |
| Mailing Telephone | 7012345015 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD463373 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
10651 | ND | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
041826 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103463715 | 05 | |
| ND | 14287 | 05 | |
| CT | 001418260 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 S Cedar Crest Blvd, Allentown, PA 181036202 | 6104028080 | |
| 23 Briarwood Pl, Fargo, ND 581047308 | 6107701606 | |
| 801 Broadway N, Fargo, ND 581023641 | 7012345015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831382167 | Martha Kearns | Nurse Practitioner | 810 Vermont Ave Nw, 10mi Dept of Veterans Affairs, Washington, DC 20420-0001 | 2007-08-21 |
| Street Address |
23 BRIARWOOD PL |
| City | FARGO |
| State | ND |
| Zip Code | 58104-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
| 1114942372 | Kathleen Ann Wood | Radiology | 705 13th Ave N, Apt. 310, Fargo, ND 58102-2680 | 2006-07-12 |
| 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.