DAVID NDUBUISI JUDE UGOBI (NPI# 1730476425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730476425 |
| Entity Type | Individual |
| Full Name | DAVID NDUBUISI JUDE UGOBI |
| Credential | MD |
| Practice Address |
400 Burdick Expy E Minot ND 58701-4768 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018575000 |
| Mailing Telephone | 7018575000 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 15701 | ND | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301098597 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301098597 | MI | Student, Health Care |
| Street Address |
400 BURDICK EXPY E |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261256 | Ira Paul Michaelson | Internal Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2005-11-02 |
| 1336755727 | Kallie Nicole Goodman | Family Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2020-09-21 |
| 1295352029 | Patti Jo Hagerott | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2020-06-27 |
| 1194369009 | Kayla Lee Bubach | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-11-04 |
| 1801439633 | Jodee Richeson | Pharmacist | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-10-24 |
| 1093377301 | Angela Joy Heintz | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-07-08 |
| 1679045330 | Nicole Lynn Gress | Advanced Practice Midwife | 400 Burdick Expy E, Minot, ND 58701-4768 | 2018-12-19 |
| 1417465444 | Natasha Shipman | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2018-01-11 |
| 1396257986 | Shannon Stremick | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-11-03 |
| 1639691975 | Fariha Saleem | Family Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
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| 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 |
|---|---|---|---|---|
| 1568717114 | Khang Nguyen | Pediatrics | 1510 16th St Sw Apt 210, Minot, ND 58701-9115 | 2012-07-19 |
| 1790952836 | Koyejo A. Oyerinde | Pediatrics | 2111 Landmark Cir, Minot, ND 58703-1967 | 2008-05-08 |
| 1740354646 | Anthony A Udekwe | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-11-20 |
| 1811068950 | Diana L Peterson | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-11-12 |
| 1164512091 | Melissa M Messerly | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-10-13 |
| 1922196351 | Ann M Cadwalader | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-10-11 |
| 1275621609 | Thomas D Carver | Pediatrics | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2006-10-11 |
| 1104913045 | Michael J Holland | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-10-10 |
| 1013004969 | Frederick W Jones | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-10-10 |
| 1700972973 | Friday U Osuala | Pediatrics | 400 Burdick Expy E, Minot, ND 58701-4768 | 2006-10-05 |
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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.