DR. NIYUTCHAI CHAITHONGDI (NPI# 1952502700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952502700 |
| Entity Type | Individual |
| Full Name | DR. NIYUTCHAI CHAITHONGDI |
| Credential | M.D. |
| Practice Address |
2400 32nd Ave S Fargo ND 58103-5800 |
| Practice Telephone | 7012347980 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
11757 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 15924 | 05 |
| Street Address |
2400 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693875 | Chris L Cleveland | Pediatrics | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2005-10-14 |
| 1306456470 | Darcy Thompson | Registered Nurse | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-08-04 |
| 1457988636 | Lisa Aipperspach | Dietitian, Registered | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-03-26 |
| 1588298525 | Adriane Maag Carney | Acupuncturist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-02-28 |
| 1255961090 | Bailey June Hanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-01-21 |
| 1013564624 | Erin Marie Wilmes | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-20 |
| 1346896016 | Ashley Jobe | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-17 |
| 1194371377 | Casey Murphy | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-14 |
| 1316507221 | Evan Lee Zacharias I | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-13 |
| 1801455449 | Danielle Swanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-07 |
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| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1881643377 | William Peter Newman | Internal Medicine | 1919 Elm St N, Fargo, ND 58102-2416 | 2006-05-10 |
| 1841670445 | Mario Carlos Rivera | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2015-06-09 |
| 1417255191 | Ellen Delores Vogels | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2011-03-04 |
| 1134304421 | Laurel T Bowman | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2008-01-04 |
| 1699793331 | Angela Beth Homuth | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-07-18 |
| 1831117530 | Susan Kay Cavalier | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-07-18 |
| 1477571040 | Helen S Levitt | Internal Medicine | 737 Broadway N, Fargo, ND 58122-0001 | 2006-07-18 |
| 1194742635 | Juan Manuel Munoz | Internal Medicine | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2006-07-17 |
| 1679590665 | Cheryl Beech | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-07-16 |
| 1962429829 | Shirley A Essary | Internal Medicine | 737 Broadway, Fargo, ND 58122-0001 | 2006-07-16 |
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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.