ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1033653209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033653209 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S ENT ASSOCIATES |
| Practice Address |
920 E 1st St Ste. 301 Duluth MN 55805-2225 |
| Practice Telephone | 2182796279 |
| Practice Fax Number | 2182796280 |
| Mailing Telephone | 2182796279 |
| Mailing Fax Number | 2182796280 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | KEVIN NOKELS (PRESIDENT, CEO) |
| Authorized Official Telephone | 2182495389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's ENT Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497087126 | St. Luke's Hospital of Duluth | Family Medicine | 6351 E. Superior St., Duluth, MN 55804-2545 | 2010-02-05 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 1063464154 | St. Luke's Hospital of Duluth | Family Medicine | 8373 Unity Drive, Virginia, MN 55792-4005 | 2006-05-17 |
| 1316999485 | St. Luke's Hospital of Duluth | Family Medicine | 2201 Lake Shore Drive East, Ashland, WI 54806-2331 | 2006-05-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1336774165 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-12 |
| 1275005498 | St. Luke's Hospital of Duluth | Clinic/Center | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2018-12-28 |
| 1205319662 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 930 E 2nd St, Duluth, MN 55805-2104 | 2018-09-12 |
| 1528505955 | St. Luke's Hospital of Duluth | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2017-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. LUKE'S HOSPITAL OF DULUTH | 915 E First St, Duluth, MN 55805-2107 |
| Street Address |
920 E 1ST ST STE. 301 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857101 | David M Choquette | Otolaryngology | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2005-11-10 |
| 1205440823 | Abigail Frances Bushey | Physician Assistant | 920 E 1st St, Duluth, MN 55805-2201 | 2020-09-01 |
| 1225428766 | Brittany Lynn Kuehn | Physician Assistant | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2015-02-04 |
| 1699021097 | Chad Matthew Kittleson | Audiologist | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2012-08-03 |
| 1417227661 | Michael Paul Stellmaker | Surgery | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2012-01-05 |
| 1326322017 | Callie Kunze | Physician Assistant | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2011-09-29 |
| 1649567173 | Sara Nilsson Lund | Internal Medicine | 920 E 1st St, Ste. 102, Duluth, MN 55805-2201 | 2011-07-05 |
| 1952691925 | Jennifer E Witt | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-12 |
| 1447540521 | Joshua M Larson | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-11 |
| 1336459635 | Kelly Jean Higgins Kleven | Physician Assistant | 920 E 1st St, Ste. P201, Duluth, MN 55805-2201 | 2010-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| 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 |
|---|---|---|---|---|
| 1780927269 | Blake Robert Smith | Otolaryngology | 3650 Steve Reynolds Blvd Dept Of, Duluth, GA 30096-4506 | 2013-04-03 |
| 1396726659 | Northland Ear, Nose & Throat Associates, P.a. | Otolaryngology | 920 E 1st Street, Suite 301, Duluth, MN 55805 | 2005-11-11 |
| 1609857101 | David M Choquette | Otolaryngology | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2005-11-10 |
| 1013915586 | Michael John Pickford | Otolaryngology | 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | 2005-07-08 |
| 1649275751 | Christopher J Lee | Otolaryngology | 3500 Duluth Park Ln, Suite 210, Duluth, GA 30096-3242 | 2005-06-15 |
| 1639582273 | Heidi Elaine L'esperance | Otolaryngology | 400 E 3rd St, Duluth, MN 55805-1951 | 2014-06-10 |
| 1659794691 | Gwinnett Ear Nose & Throat, LLC | Otolaryngology | 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | 2014-01-28 |
| 1366622573 | Christopher J. Lee Md, P.C. | Otolaryngology | 3500 Duluth Park Ln, Suite 210, Duluth, GA 30096-3242 | 2007-11-06 |
| 1598983371 | Jonathan Shane Glickstein | Otolaryngology | 400 E 3rd St, Duluth, MN 55805-1951 | 2007-04-24 |
| 1346375151 | Rolando R Rosas | Otolaryngology | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2007-02-22 |
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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.