DR. KENNETH JAMES WRIGHT (NPI# 1235174376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235174376 |
| Entity Type | Individual |
| Full Name | DR. KENNETH JAMES WRIGHT |
| Credential | MD |
| Practice Address |
711 Delmore Dr - Altru Clinic/roseau Roseau MN 56751-1534 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 2184631365 |
| Practice Fax Number | 2184633928 |
| Mailing Telephone | 7017801891 |
| Mailing Fax Number | 3182542229 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 46906 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD.15640R | LA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | E3349 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5M277 | 01 |
| AR | 146792001 | 05 | |
| AR | 160354002 | 05 | |
| AR | BCBS-MEDICAL PARK DRS GP | 5F528 | 01 |
| LA | 1460818 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033669809 | Kenneth Eugene Wright | Specialist/Technologist | 101 Doster Hall University Blvd, The University of Alabama, Tuscaloosa, AL 35487-0001 | 2016-10-05 |
| 1174965693 | Kenneth L Wright | Social Worker | 1116 W 26th St, Jacksonville, FL 32209-4002 | 2013-07-25 |
| 1538462965 | Kenneth Wright | Counselor | 5209 W. Wendover Ave., High Point, NC 27265-9177 | 2010-12-07 |
| 1629388111 | Kenneth John Wright | Chiropractor | 382 Joe Mccarthy Dr, Amherst, NY 14228 | 2010-10-18 |
| 1578650990 | Kenneth W Wright | Ophthalmology | 520 S San Vicente Blvd, Los Angeles, CA 90048-4616 | 2006-10-06 |
| 1043328834 | Kenneth Earl Wright | Physician Assistant | 3455 South Yarrow Street, Lakewood, CO 80227 | 2006-08-29 |
| 1487668430 | Kenneth Ronald Wright | Dentist | 810 Fountain Hall Ct Ne, Leesburg, VA 20176-3650 | 2006-07-27 |
| 1215978770 | Kenneth D. Wright | Psychiatry & Neurology | 787 Racetrack Rd, Benton, AR 72015-9461 | 2006-06-08 |
| 1396084190 | Kenneth Charles Wright | Dentist | 527 W Old Northwest Hwy, Suite 104, Barrington, IL 60010-6815 | 2013-02-14 |
| 1457498883 | Kenneth Carr Wright | Physical Medicine & Rehabilitation | 501 Morris St, Camc General Hospital, Charleston, WV 25301-1326 | 2007-02-01 |
| Street Address |
711 DELMORE DR - ALTRU CLINIC/ROSEAU |
| City | ROSEAU |
| State | MN |
| Zip Code | 56751-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739885 | David Simmons | Pharmacist | 715 Delmore Drive, Roseau, MN 56751 | 2017-02-22 |
| 1770841082 | Amber Rohde | Physical Therapist | 44371 350 St., Roseau, MN 56751 | 2012-04-25 |
| 1275632234 | Jack Victor Lundbohm | Chiropractor | 317 2nd St Nw Ste A, Roseau, MN 56751 | 2006-09-22 |
| 1558390336 | Marianne Renae Foldesi | Physician Assistant | 711 Delmore Drive, Roseau, MN 56751 | 2006-07-02 |
| 1871679456 | Roseau/warroad Eye Clinic, P.a. | Optometrist | 306 N Main, Roseau, MN 56751 | 2006-10-27 |
| 1194935619 | Ageless Care,inc | Home Health | 702 7th St Sw, Roseau, MN 56751-0000 | 2007-05-23 |
| 1235176033 | Lorris Galen Vatnsdal II | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-06-01 |
| 1336204536 | Lorris G. Vatnsdal, Ltd. | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-27 |
| 1164584322 | Cynthia Faye Drost-sandy | Dentist | 205a 2nd Ave Nw, Roseau, MN 56751-1007 | 2006-12-14 |
| 1952478489 | Robert Frank Larson | Dentist | 201 4th Ave Nw, Roseau, MN 56751-1033 | 2006-11-29 |
| Find all providers in zip 56751 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679833396 | Jessica Lynn Simmons | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2012-05-29 |
| 1669731741 | Chibuike Chimdiya Anokwute | Family Medicine | 711 Delmore Drive, Roseau, MN 56751-1534 | 2012-05-10 |
| 1437311289 | Annabi I Djalo | Family Medicine | 715 Delmore Dr, Roseau, MN 56751-1534 | 2008-07-01 |
| 1073603940 | Luis G Jain | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-10-13 |
| 1720174089 | Bryon D Vandewege | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-10-05 |
| 1639260425 | Robert J Anderson | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-09-27 |
| 1679664478 | Ralph H Herseth | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-09-27 |
| 1396842175 | Ronald W Brummer | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-09-20 |
| 1306887773 | David A Brett | Family Medicine | 711 Delmore Dr, Roseau, MN 56751-1534 | 2006-06-09 |
| 1790722635 | Crystal Dawn Silas | Family Medicine | 715 Delmore Dr, Roseau, MN 56751-1534 | 2006-05-31 |
| Find all providers in ROSEAU | ||||
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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.