Kathleen Ann Wood, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4980 Issued in ND

Practice address

705 13TH Ave N
Apt. 310
Fargo, ND 58102-2680

Phone

(218) 779-0533

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1114942372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 13TH AVE N",
            "address_2": "APT. 310",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022680",
            "telephone_number": "218-779-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 13TH AVE N",
            "address_2": "APT. 310",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022680",
            "telephone_number": "218-779-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ND",
            "license": "4980",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "4980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Womack, MD
• Women Initiative Network of Liberia in Cass & Clay Counties
• Joseph Arthur Wonderlich, PH.D.
• Stephen A Wonderlich, PHD
• Earl Wood, LAPC
• Kelsey F Wood, APRN,CRNA
• Susan McCullough Wood, PH.D.
• Victoria Woodard, LPN
• Kara Bliss Woodbury Fladland, LPCC
• Megan Jean Woodbury, RN, CWON

• Diagnostic Radiology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.