Active NPI
Sue Karen Wink, MD
- Otolaryngology Physician
- Fargo, ND
National Provider Identifier
1992803662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 7572
- Practice address
- 1800 21St Ave S
Fargo, ND 58103-5759 - Phone
- (701) 365-8700
- Fax
- (701) 365-8701
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 7572 | ND | Primary |
Addresses
Primary practice location
1800 21St Ave S
Fargo, ND 58103-5759
Mailing address
1800 21St Ave S
Fargo, ND 58103-5759
Phone (701) 365-8700
Other practice location 1
715 E Broadway Ave Ste 110
Bismarck, ND 58501-4454
Phone (701) 323-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18889 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7572 | ND | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992803662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 21ST AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035759",
"telephone_number": "701-365-8700",
"fax_number": "701-365-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 21ST AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581035759",
"telephone_number": "701-365-8700",
"fax_number": "701-365-8701"
}
],
"practiceLocations": [
{
"address_1": "715 E Broadway Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585014454",
"country_code": "US",
"telephone_number": "701-323-6000",
"fax_number": "701-323-8821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINK",
"first_name": "SUE",
"middle_name": "KAREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ND",
"license": "7572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18889",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
- Win-Liberia) Women Initiative Network of Liberia in Cass & Clay Counties
- Julie Windahl I, LMFT
- Nicole Marie Windjue, GNP-BC
- Erik Knight Wing, PHD
- Leah Winjum, OTR
- Callie Winkels, LSW
- Winmar Diagnostics North Central, Inc.
- Winmar Diagnostics North Central, Inc.
- Winners Care
- Karla Lynn Winter, LAC, LADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.