DR. FAREED Z KADUM (NPI# 1760495840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760495840 |
| Entity Type | Individual |
| Full Name | DR. FAREED Z KADUM |
| Credential | MD |
| Practice Address |
1301 15th Ave W Williston ND 58801-3821 |
| Practice Telephone | (701) 774-7400 |
| Mailing Telephone | (701) 774-7400 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 13475 | ND | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 22993 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1462599 | 05 | |
| GA | 000262556D | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 962 Joe Frank Harris Pkwy, Suite 202, Cartersville, GA 301202142 | 7703348818 | 7703348819 |
| Street Address |
1301 15TH AVE W |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006519 | Advanced Diagnostic Radiology PC | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2005-07-08 |
| 1487251930 | Elizabeth Coulson | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2020-10-07 |
| 1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
| 1740822584 | Anna Elizabeth Wolf | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-14 |
| 1124678297 | Janet Williams | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-19 |
| 1396394904 | Chelsea Nichole Smith | Advanced Practice Midwife | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-06 |
| 1952959868 | Kaleb Barstad | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-04 |
| 1447819586 | Craig D White | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-06-12 |
| 1043780828 | Yesul Song | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2018-12-05 |
| 1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858161 | Grace Health and Wellness Specialists | Obstetrics & Gynecology | 412 W Noble Ave, Williston, FL 32696-2034 | 2019-02-22 |
| 1144277484 | Great Plains Women's Health Center PC | Obstetrics & Gynecology | 1700 11th St W, Williston, ND 58801-4500 | 2006-05-30 |
| 1245627629 | Yao Wang | Obstetrics & Gynecology | 1700 11th St W, Williston, ND 58801-4500 | 2015-04-23 |
| 1912392184 | Ashley Brown | Obstetrics & Gynecology | 1700 11th St W, Williston, ND 58801 | 2015-04-03 |
| 1477959419 | Rukeme Ake-uzoigwe | Obstetrics & Gynecology | 1700 11th St W, Williston, ND 58801-4500 | 2014-11-18 |
| 1053640524 | Joseph E Adducci, PC | Obstetrics & Gynecology | 1213 15th Ave W, Williston, ND 58801-3800 | 2009-12-13 |
| 1841482304 | Yolanda Marie Newton | Obstetrics & Gynecology | 1700 11th St W, Williston, ND 58801-4500 | 2007-08-17 |
| 1710042817 | Joseph E Adducci | Obstetrics & Gynecology | 1213 15th Ave W, Joseph E Adducci, Williston, ND 58802-2438 | 2006-12-27 |
| 1689698227 | Tracey Sue Maurer | Obstetrics & Gynecology | 353 Blair Park Rd, Williston, VT 05495-7530 | 2006-07-27 |
| 1326087404 | Beverly Jean Tong | Obstetrics & Gynecology | 1700 11th St W, Williston, ND 58801-4500 | 2006-06-05 |
| Find all providers in WILLISTON | ||||
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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.