BRIAN G WILLOUGHBY (NPI# 1801981451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801981451 |
| Entity Type | Individual |
| Full Name | BRIAN G WILLOUGHBY |
| Credential | MD |
| Practice Address |
1000 Highway 12 Hettinger ND 58639 |
| Mailing Address |
1100 Highway 12 Hettinger ND 58639-7533 |
| Practice Telephone | 7015674561 |
| Mailing Telephone | 7015676130 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 5103 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 45034068812 | 05 | |
| SIOUX VALLEY | 25451 | 01 | |
| IA | 0568253 | 05 | |
| ND | WORKER'S COMP | 123993 | 01 |
| SD | 7776070 | 05 | |
| ND BLUE CROSS/BLUE SHIELD | 10781 | 01 | |
| ND | 14656 | 05 | |
| WA | 3018140 | 05 | |
| MN | 7088230-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427249473 | Brian L B Willoughby | Psychologist | Massachusetts General Hospital, 151 Merrimac Street, 5th Floor, Boston, MA 02114 | 2007-08-06 |
| 1962425710 | Brian J Willoughby | Ophthalmology | 255 Detroit St, Denver, CO 80206-4833 | 2006-07-25 |
| Street Address |
1000 HIGHWAY 12 |
| City | HETTINGER |
| State | ND |
| Zip Code | 58639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194766485 | Joan Lea Upton | Physical Therapist | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-06-09 |
| 1225647860 | Rebecca Howe | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2020-07-29 |
| 1639724099 | Ashley Lynn Bostyan | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2019-08-02 |
| 1891206215 | Jacquelyn Ann Hedstrom | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2017-10-12 |
| 1871017616 | Lesley D Kling | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639 | 2017-08-02 |
| 1083049431 | Jodi Lynn Wilson | Nurse Practitioner | 1000 Highway 12, Hettinger, ND 58639-7530 | 2013-09-04 |
| 1669793410 | Stacie Marie Wellman | Family Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2010-06-16 |
| 1861623456 | Carrie Ann Kathleen Ranum | Pediatrics | 1000 Highway 12, Hettinger, ND 58639-7530 | 2009-07-31 |
| 1609035120 | Joshua Ranum | Family Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2008-06-09 |
| 1528240694 | West River Health Services | Durable Medical Equipment & Medical Supplies | 1000 Highway 12, Hettinger, ND 58639-7530 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215149984 | Mitchell C. Schultz | Pharmacist | 105 6th St Se, Hettinger, ND 58639 | 2007-05-04 |
| 1861612111 | Gary William Dewhirst | Pharmacist | 305 13th St S, Hettinger, ND 58639 | 2007-04-27 |
| 1649677220 | Liane Ruhland | Social Worker | 609 2nd Ave N, Hettinger, ND 58639-0550 | 2014-11-26 |
| 1154535151 | Susan K Hallen | Pharmacist | 603 N 4th St, Hettinger, ND 58639-0808 | 2007-05-09 |
| 1225145345 | Suzan Jean Hanson | Chiropractor | 117 S. Main, Hettinger, ND 58639-1347 | 2006-08-24 |
| 1174873939 | Kimberly Anne Radig | Pharmacist | 112 S Main St, Hettinger, ND 58639-7031 | 2012-09-19 |
| 1396835237 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 112 S Main St, Hettinger, ND 58639-7031 | 2006-10-13 |
| 1902992704 | West River Health Services | Home Health | 700 4th St N, Hettinger, ND 58639-7221 | 2006-10-05 |
| 1043819709 | Laura Lea Lurz Cordes | Technician | 300 11th Ave N, Hettinger, ND 58639-7306 | 2020-10-22 |
| 1659996924 | Encompass Therapy LLC | Clinic/Center | 600 2nd Ave N, Hettinger, ND 58639-7448 | 2020-06-12 |
| Find all providers in zip 58639 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104912849 | Kent R Hoerauf | Internal Medicine | 1000 Highway 12, Hettinger, ND 58639-7530 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184142747 | Kayla Estepp | Internal Medicine | 737 Broadway North, Fargo, ND 58122 | 2017-09-05 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1700238714 | Youstina Michael | Internal Medicine | 408 Roberts St N Apt 208, Fargo, ND 58102-4599 | 2016-07-01 |
| 1164834289 | Joshua Jost | Internal Medicine | Broadway N, 801, Fargo, ND 58122-0170 | 2014-05-22 |
| 1659782258 | Sarah Fanai | Internal Medicine | Sanford Health, 801 Broadway North, Fargo, ND 58122-0170 | 2014-05-16 |
| 1376963520 | Total Transformation Clinic, PC | Internal Medicine | 317 16th St Nw, Minot, ND 58703-2919 | 2014-04-25 |
| 1447696406 | Mohamad Imam | Internal Medicine | 801 Broadway North, Fargo, ND 58122 | 2013-05-17 |
| 1316383383 | Janya Swami | Internal Medicine | Sanford Health System 801 Broadway N, Fargo, ND 58122-0170 | 2013-05-17 |
| 1922361716 | Sanford Clinic North | Internal Medicine | 2960 Seter Pkwy, Fargo, ND 58104-8692 | 2012-06-18 |
| 1912273418 | Eric Priyakumar Ragland | Internal Medicine | Essentia Health, 3000 32nd Ave S, Fargo, ND 58104 | 2012-03-29 |
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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.