SUE KAREN WINK (NPI# 1992803662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992803662 |
| Entity Type | Individual |
| Full Name | SUE KAREN WINK |
| Credential | MD |
| Practice Address |
1800 21st Ave S Fargo ND 58103-5759 |
| Practice Telephone | (701) 365-8700 |
| Practice Fax Number | 7013658701 |
| Mailing Telephone | (701) 365-8700 |
| Mailing Fax Number | 7013658701 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 7572 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 18889 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 715 E Broadway Ave Ste 110, Bismarck, ND 585014454 | 7013236000 | 7013238821 |
| Street Address |
1800 21ST AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104359769 | Sharlene Miller | Specialist/Technologist, Other | 1800 21st Ave S, Fargo, ND 58103-5759 | 2017-04-10 |
| 1528509288 | My Pt, Pllc | Clinic/Center | 1800 21st Ave S, Fargo, ND 58103-5759 | 2017-03-14 |
| 1881043768 | Ashley N Rogers | Audiologist | 1800 21st Ave S, Fargo, ND 58103-5759 | 2016-06-10 |
| 1033593025 | Taylor Fontaine | Physician Assistant | 1800 21st Ave S, Fargo, ND 58103-5759 | 2015-07-20 |
| 1326438649 | Jennifer Blais | Nurse Practitioner | 1800 21st Ave S, Fargo, ND 58103-5759 | 2015-01-26 |
| 1083962559 | Emily Richard | Hearing Instrument Specialist | 1800 21st Ave S, Fargo, ND 58103-5759 | 2012-08-15 |
| 1972862332 | Amy E Ulbricht | Nurse Practitioner | 1800 21st Ave S, Fargo, ND 58103-5759 | 2012-05-04 |
| 1952469165 | Susan M Mathison | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103 | 2006-12-04 |
| 1043378268 | Catalyst Medical Center PC | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103 | 2006-12-04 |
| 1730280892 | Morris E Bellis | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103-5759 | 2006-09-25 |
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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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700944915 | Lesley A Soine | Otolaryngology | 2700 12th Ave S, Ste D, Fargo, ND 58103-8723 | 2006-12-04 |
| 1982606000 | Ferdinand Lavenuta | Otolaryngology | 1214 Oak St N, Fargo, ND 58102-2707 | 2005-06-01 |
| 1245585587 | Morgan Lien | Otolaryngology | 801 Broadway N, Fargo, ND 58102-3641 | 2012-07-23 |
| 1275858714 | Brent G Nichols | Otolaryngology | 801 Broadway N, Fargo, ND 58102-3641 | 2010-03-27 |
| 1720285323 | Andrew Michael Terrell | Otolaryngology | 801 Broadway N, Fargo, ND 58102-3641 | 2007-06-28 |
| 1942416714 | Matthew Walter Miller | Otolaryngology | 801 Broadway N, Fargo, ND 58122 | 2007-05-16 |
| 1447395512 | Michael J Shinners | Otolaryngology | 801 Broadway N, Fargo, ND 58102-3641 | 2007-02-20 |
| 1952469165 | Susan M Mathison | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103 | 2006-12-04 |
| 1043378268 | Catalyst Medical Center PC | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103 | 2006-12-04 |
| 1649338724 | James L. Frisk, M.d., Ltd | Otolaryngology | 2700 12th Ave S, Suite D, Fargo, ND 58103-8723 | 2006-12-04 |
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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.