AMNA MASOOD (NPI# 1063825685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063825685 |
| Entity Type | Individual |
| Full Name | AMNA MASOOD |
| Credential | MD |
| Practice Address |
736 Broadway N Fargo ND 58102-4421 |
| Mailing Address |
Po Box 2010 Fargo ND 58122-2484 |
| Practice Telephone | 7012342000 |
| Practice Fax Number | 7012342345 |
| Mailing Telephone | 7012342119 |
| Mailing Fax Number | 7012342045 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15064 | ND | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
RL13276 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
736 BROADWAY N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700856911 | Douglas M Griffin | Family Medicine | 736 Broadway N, Fargo, ND 58102-4421 | 2006-01-23 |
| 1528666914 | Brett Brockpahler | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2020-10-16 |
| 1235756040 | Ramneet Kaur Singh | Family Medicine | 736 Broadway N, Fargo, ND 58102-4421 | 2020-06-26 |
| 1467002733 | Cassandra Nicole Flach | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2019-09-18 |
| 1710548862 | Jeremiah Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-27 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1427618800 | Alison Lynn Kopp | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-18 |
| 1952867178 | Heather Crystal Carkhuff | Physician Assistant | 736 Broadway N, Fargo, ND 58102-4421 | 2019-02-12 |
| 1790256329 | Danielle Jo Matta | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2018-12-07 |
| 1013483692 | Tamera Ostenaa | Family Medicine | 736 Broadway N, Fargo, ND 58122-4732 | 2018-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839735 | Affinitas Psychiatric Care, PC | Psychiatry & Neurology | 3523 45th St S Ste 151, Fargo, ND 58104-8962 | 2019-12-26 |
| 1134260482 | Harjinder K Virdee | Psychiatry & Neurology | 2704 N Broadway, Suite C, Fargo, ND 58102 | 2007-02-09 |
| 1821175241 | Amador Montes Dizon | Psychiatry & Neurology | 510 4th St So, Fargo, ND 58103 | 2006-11-01 |
| 1275629719 | David Javier Lopez | Psychiatry & Neurology | 300 Np Ave Ste 101, Fargo, ND 58102-4871 | 2006-10-04 |
| 1902998081 | Emmet Michael Kenney Jr. | Psychiatry & Neurology | 3201 33rd St S, Fargo, ND 58104-8823 | 2006-09-28 |
| 1093807182 | Fetih Akgul | Psychiatry & Neurology | 510 4th St South, Prairie St Johns LLC, Fargo, ND 58107 | 2006-09-28 |
| 1023111606 | Charlotte Marie Andersen | Psychiatry & Neurology | 510 4th Street S, Fargo, ND 58107 | 2006-09-07 |
| 1235156191 | Rebecca Evelyn Elbert | Psychiatry & Neurology | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2006-07-16 |
| 1952359903 | Anne Henry Stoe | Psychiatry & Neurology | 2624 9th Ave Sw, Southeast Human Service Center, Fargo, ND 58103 | 2006-05-04 |
| 1720608110 | Natasha Lynn Isaman | Psychiatry & Neurology | 1316 23rd St S, Fargo, ND 58103-3707 | 2020-04-26 |
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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.