DR. JASON SO GO (NPI# 1447475637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447475637 |
| Entity Type | Individual |
| Full Name | DR. JASON SO GO |
| Credential | MD |
| Practice Address |
1300 S Columbia Rd Grand Forks ND 58201 |
| Mailing Address |
2401 Demers Ave Grand Forks ND 58201 |
| Practice Telephone | 7017802300 |
| Mailing Telephone | 7017801891 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2019-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4968 | NE | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4968 | NE | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
12283 | ND | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD.203611 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02828387 | 05 | |
| LA | 2105108 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275991341 | Jason Go | Acupuncturist | 1201 Stone St, Suite 3, Port Huron, MI 48060-3563 | 2016-02-04 |
| Street Address |
1300 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512885 | Bradley P Belluk | Surgery | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2005-07-14 |
| 1306464219 | Leanne Kilzer | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2020-07-07 |
| 1952957847 | Arthur Thorsen | Physician Assistant | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2019-08-15 |
| 1194386581 | Marlie Borowicz | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-26 |
| 1881255503 | Jenna Arnold | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-24 |
| 1720560600 | Maddie Victoria Bjornstad | Occupational Therapist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-09-06 |
| 1609352657 | Jenna Carpenter | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-12 |
| 1053897074 | Laura Goor | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2018-07-12 |
| 1700362969 | Emily Kay Voeller | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-11 |
| 1942796115 | Alison Schoenborn | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851565022 | Camelia Carmen Ilie | Internal Medicine | 222 N 7th St, Bismarck, ND 58501 | 2008-04-17 |
| 1467585349 | Yassar Almanaseer | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2007-03-13 |
| 1578662433 | Robert Oatfield | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-21 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on DR. JASON SO GO.
| 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.