CHATREE WONGJIRAD (NPI# 1376624445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376624445 |
| Entity Type | Individual |
| Full Name | CHATREE WONGJIRAD |
| Credential | MD |
| Practice Address |
900 E Broadway Avenue Bismarck ND 58501 |
| Mailing Address |
Po Box 997 Bismarck ND 58502-0997 |
| Practice Telephone | 7015307000 |
| Mailing Telephone | 7015307000 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
5254 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1450768 | 05 | |
| ND | RR MEDICARE | 130006387 | 01 |
| Street Address |
900 E BROADWAY AVENUE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558348193 | Timothy M. Gold | Anesthesiology | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2005-12-26 |
| 1669884920 | Morris O Duffy | Physician Assistant | 900 E Broadway Avenue, Bismarck, ND 58501-4520 | 2014-05-21 |
| 1750561759 | Nicole M Sebastian | Speech-Language Pathologist | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-11-07 |
| 1336283928 | St Alexius Medical Center | Pharmacy | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1063556652 | Gloria D Wolf | Nurse Practitioner | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1235273855 | Shelley Porter | Dietitian, Registered | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1376687046 | Gary Ritter | Nurse Anesthetist, Certified Registered | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-02-16 |
| 1184760043 | Valentine Wangler | Social Worker | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-29 |
| 1598819856 | John J Hagan | Internal Medicine | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
| 1356495592 | Melissa Horner | Nurse Practitioner | 900 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932151586 | Ralph Timothy Dunnigan | Psychiatry & Neurology | 401 N 9th St., Bismarck, ND 58501-4520 | 2006-05-16 |
| 1164473393 | Ralph T. Dunnigan P.C. | Psychiatry & Neurology | 425 E Avenue C, Bismarck, ND 58501-3942 | 2006-05-12 |
| 1104024488 | Stephanie Ann Lill Miller | Psychiatry & Neurology | 2830 N Washington St, Bismarck, ND 58503-1482 | 2007-07-06 |
| 1245383108 | Syed Shiraz Hyder | Psychiatry & Neurology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-01-22 |
| 1487606067 | Berislav Spahija | Psychiatry & Neurology | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-05-16 |
| 1033178231 | Jess A Miller | Psychiatry & Neurology | 222 N 7th St, Bismarck, ND 58501 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417167628 | Donald Melvin Larson | Psychiatry & Neurology | 2866 Lilac Ln N, Fargo, ND 58102-1703 | 2007-05-23 |
| 1720095482 | Kevin Michael Faber | Psychiatry & Neurology | 2801 S University Dr, Fargo, ND 58103 | 2006-08-02 |
| 1447284500 | Areen T Said | Psychiatry & Neurology | 20 Burdick Expy. E., Minot, ND 58702-4498 | 2006-07-11 |
| 1821054347 | Bahram Nico | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2006-04-24 |
| 1730141466 | Edgardo Abad Crisostomo | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104 | 2006-04-06 |
| 1255337861 | Red River Neurology Clinic | Psychiatry & Neurology | 2812 17th Ave S, Ste D, Grand Forks, ND 58201-4048 | 2005-06-28 |
| 1437590577 | Alexandra Sequeira | Psychiatry & Neurology | 700 1st Ave S, Fargo, ND 58103-1802 | 2013-07-16 |
| 1992093983 | Rosina Bautista Medel | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2011-07-12 |
| 1235423393 | Scott M. Belliston | Psychiatry & Neurology | 700 1st Ave S, Fargo, ND 58103-1802 | 2011-06-07 |
| 1770876815 | Cory Thomas Edwards | Psychiatry & Neurology | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2011-05-23 |
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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.