JILL CATHERINE KANG (NPI# 1356618870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356618870 |
| Entity Type | Individual |
| Full Name | JILL CATHERINE KANG |
| Other Name | JILL GREENLEY |
| Credential | DPM |
| Practice Address |
2430 20th St Sw Jamestown ND 58401 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7012535300 |
| Practice Fax Number | 7012535402 |
| Mailing Telephone | 7012535300 |
| Mailing Fax Number | 7012535402 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2013-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 64 | ND | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 5901002296 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 17780 | 05 |
| Street Address |
2430 20TH ST SW |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620728 | Patricia A Kline | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2006-04-25 |
| 1740887207 | Sheila Kinzler | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2020-10-07 |
| 1225648736 | Teresa D Formo | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2020-08-10 |
| 1659841542 | Jessica Whitney Ingemansen | Physician Assistant | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2018-12-04 |
| 1902382260 | Joann Delane Trader | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2018-07-19 |
| 1205350808 | Kilby P Osborn Iv | Family Medicine | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2017-07-26 |
| 1457872640 | Holli L Marquart | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2017-06-28 |
| 1124478417 | Lisa A Clemens | Registered Nurse | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2016-06-16 |
| 1487023180 | Carmen Mittleider | Nurse Practitioner | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2015-09-23 |
| 1225445463 | Fargo Vamc | Clinic/Center | 2430 20th St Sw, Suite 8, Jamestown, ND 58401-6201 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275543704 | David C Smith | Podiatrist | 20 Fairview Ave, Jamestown, NY 14701-4747 | 2006-08-08 |
| 1659788164 | Kayla Marie Emter | Podiatrist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2014-07-16 |
| 1326021882 | Manuel C Harris | Podiatrist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902933401 | Richard Gary Mason | Podiatrist | 3883 74th St. N.e., 3883 74th St. N.e., Fort Totten, ND 58335-0309 | 2007-02-28 |
| 1942341086 | Nathan Richard Randall | Podiatrist | 1 Main Hospital Road, Box 160, Belcourt, ND 58316-0160 | 2007-02-10 |
| 1386654424 | Jessica Anne Bentson | Podiatrist | 525 N 9th St, Bismarck, ND 58501-4510 | 2006-08-09 |
| 1336173871 | Basem Fanous | Podiatrist | Hwy 281n, Cando, ND 58324-0688 | 2006-07-10 |
| 1518965276 | Cherian Mathew | Podiatrist | 2215 Sims St, Dickinson, ND 58601-6521 | 2005-07-07 |
| 1992206528 | Elbowoods Memorial Health Center | Podiatrist | 1058 College Dr, New Town, ND 58763-9112 | 2018-02-28 |
| 1114453552 | Derek Anthony Mclister | Podiatrist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2017-05-04 |
| 1184010969 | Adam Finzen | Podiatrist | 4440 S Washington St - Altru Professional Center, Grand Froks, ND 58201-7245 | 2015-04-08 |
| 1265845010 | Mark Domaas | Podiatrist | 4450 31st Ave S, Ste 102, Fargo, ND 58104-4557 | 2014-06-10 |
| 1407111321 | Andrew Dean Knudsen | Podiatrist | 401 N 9th St, Bismarck, ND 58501-4530 | 2012-07-06 |
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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.