MR. RICHARD CHARLES WOODBECK JR. (NPI# 1982715876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982715876 |
| Entity Type | Individual |
| Full Name | MR. RICHARD CHARLES WOODBECK JR. |
| Credential | OPA-C, OTC, OT-SC |
| Practice Address |
3035 Demers Ave Grand Forks ND 58201-4040 |
| Mailing Address |
1215 S 23rd St Grand Forks ND 58201-5176 |
| Practice Telephone | 7017467521 |
| Practice Fax Number | 7017952553 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3035 DEMERS AVE |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356099 | Gary L. Karlstad | Specialist | 3035 Demers Ave, Grand Forks, ND 58201-4018 | 2005-06-20 |
| 1265093124 | Mckenzie Ann Brown | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-06-21 |
| 1568925121 | Alys Seay | Physician Assistant | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2019-04-10 |
| 1881094928 | Jamie Arola | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2014-08-26 |
| 1346669082 | Yashraj Chauhan | Podiatrist | 3035 Demers Ave, Grand Forks, ND 58201 | 2014-04-09 |
| 1396184123 | Katherine Marie Carson | Nurse Practitioner | 3035 Demers Ave, Grand Forks, ND 58201 | 2013-06-14 |
| 1780842963 | Vinita J Parikh | Anesthesiology | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2008-05-24 |
| 1114106820 | John Patrick Eickman | Neurological Surgery | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-10-30 |
| 1891995445 | Esperanza S Argenziano | Internal Medicine | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-07-23 |
| 1346370640 | Achieve Therapy LLC | Physical Therapist | 3035 Demers Ave, Grand Forks, ND 58201-4040 | 2007-03-06 |
| 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 | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265843346 | Shannon Olson | Specialist/Technologist, Other | 800 40th Ave E, West Fargo, ND 58078-7926 | 2014-05-12 |
| 1881020105 | Tim Rice | Specialist/Technologist, Other | 300 Np Ave N, 202, Fargo, ND 58102-4871 | 2013-09-18 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on MR. RICHARD CHARLES WOODBECK JR..
| 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.