DR. KATHLEEN A NORDSTROM (NPI# 1932240025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932240025 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN A NORDSTROM |
| Credential | M.D. |
| Practice Address |
500 N 8th St Bismarck ND 58501-4445 |
| Mailing Address |
Po Box 5598 Bismarck ND 58506-5598 |
| Practice Telephone | 7012226100 |
| Practice Fax Number | 7012226150 |
| Mailing Telephone | 7012226100 |
| Mailing Fax Number | 7012226150 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
8881 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | DR NORDSTROM SD MEDICAID | 7704010 | 01 |
| ND | STATE LIC# | 8881 | 01 |
| ND | DR NORDSTROM RR MEDICARE | 920006668 | 01 |
| ND | 11727 | 05 | |
| ND | DR NORDSTROM BCBS | 21230 | 01 |
| Street Address |
500 N 8TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972571032 | Joann Marie Leahy | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2006-03-14 |
| 1285868968 | Robert Ray Reynolds | Internal Medicine | 500 N 8th St, Bismarck, ND 58501 | 2009-05-08 |
| 1356585293 | Tarek A Dufan | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2009-04-22 |
| 1538212162 | Bismarck Cancer Center | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578679130 | Glen R Hyland | Radiology | 311 N Mandan St Ste 1, Bismarck, ND 58501 | 2006-08-23 |
| 1972571032 | Joann Marie Leahy | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2006-03-14 |
| 1356585293 | Tarek A Dufan | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2009-04-22 |
| 1235271388 | Kyle T Darras | Radiology | 7500 University Dr, Bismarck, ND 58504-9634 | 2007-02-13 |
| 1538212162 | Bismarck Cancer Center | Radiology | 500 N 8th St, Bismarck, ND 58501-4445 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811415664 | Bismarck Christian Odei | Radiology | 4278 51st St S, Fargo, ND 58104-3315 | 2017-08-31 |
| 1205247913 | Sommer Rae Wild Nurkic | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2014-05-15 |
| 1629369830 | Miran Joel Blanchard | Radiology | 820 4th St N, Fargo, ND 58102-4539 | 2011-04-21 |
| 1104025113 | Joni Buechler-price | Radiology | 1702 University Dr S, Fargo, ND 58103-4940 | 2007-07-11 |
| 1427252014 | Grant Richard Seeger | Radiology | 960 S Columbia Rd, Grand Forks, ND 58201-4030 | 2007-06-14 |
| 1003027582 | Michael Grant | Radiology | 831 S Broadway, Suite 113, Minot, ND 58701-4636 | 2007-05-25 |
| 1528130127 | Northern Plains Radiation Oncology, P.C. | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
| 1750453361 | Lyle Harrison | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-11-15 |
| 1184710444 | Marshall Winchester | Radiology | 960 S Columbia Rd, Grand Forks, ND 58201-4030 | 2006-10-05 |
| 1649382292 | William Richard Noyes | Radiology | 1451 44th Ave S, Unit E, Grand Forks, ND 58201-3434 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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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.