DR. TERRY L WOLFF (NPI# 1356537781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356537781 |
| Entity Type | Individual |
| Full Name | DR. TERRY L WOLFF |
| Credential | DO |
| Practice Address |
2700 12th Ave Sw Suite D Fargo ND 58103 |
| Mailing Address |
Po Box 9072 Fargo ND 58106 |
| Practice Telephone | 7012354503 |
| Practice Fax Number | 7012354503 |
| Mailing Telephone | 7012354503 |
| Mailing Fax Number | 7012354503 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2076 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 25160 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4256 | ND | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
2076 | AZ | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
25160 | MN | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
4256 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
2700 12TH AVE SW SUITE D |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154673838 | David J Ross | Hearing Instrument Specialist | 2700 12th Ave Sw, Ste D, Fargo, ND 58103-8723 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477571172 | John Gregory Beauclair | Preventive Medicine | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-18 |
| 1780602359 | Charles G Koski | Preventive Medicine | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-18 |
| 1053338913 | Peter A Eriksson | Preventive Medicine | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508262890 | Workpartners of Williston | Preventive Medicine | 3 4th St E Apt 102, Williston, ND 58801-5350 | 2014-11-13 |
| 1366766107 | Crystal Nelson | Preventive Medicine | 345 11th St W, West Fargo, ND 58078-1400 | 2010-03-23 |
| 1417960477 | Mark J Krisburg | Preventive Medicine | 860 S Columbia Rd., Grand Forks, ND 58201-4028 | 2006-08-14 |
| 1164470043 | Gary E. Caplan | Preventive Medicine | 1213 15th Ave. W., Williston, ND 58801-3821 | 2006-05-04 |
| 1295020519 | Meghan Hampton | Preventive Medicine | 1401 13th Ave E, West Fargo, ND 58078-3468 | 2011-06-15 |
| 1356511661 | Mid Dakota Clinic Worklife | Preventive Medicine | 401 N 9th St, Bismarck, ND 58501-4530 | 2008-03-04 |
| 1932144599 | Rathin N Vora | Preventive Medicine | 1401 13th Ave E, West Fargo, ND 58078-3468 | 2006-06-18 |
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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.