MISSION CREEK TRANSITIONAL CARE PLLC


Address: 520 Marshall St, Duluth, MN 55803-1981
Phone: 2183408674

MISSION CREEK TRANSITIONAL CARE PLLC (NPI# 1083268189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083268189
Entity Type Organization
Organization Name MISSION CREEK TRANSITIONAL CARE PLLC
Practice Address 520 Marshall St
Duluth
MN 55803-1981
Mailing Address 5261 Carrollton Pike Ste C
Woodlawn
VA 24381-3034
Practice Telephone 2183408674
Mailing Telephone 2762380911
Mailing Fax Number 2762380912
Enumeration Date 2019-07-26
Last Update Date 2019-07-26
Authorized Official Name DR. DEAN M FOX (OWNER)
Authorized Official Telephone 2183408674
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 520 MARSHALL ST
City DULUTH
State MN
Zip Code 55803-1981

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144872615 Rosslyn Jean Kendrick Health Educator 1926 Lakeview Dr, Duluth, MN 55803 2019-07-15
1255757191 Chandra Rose Shoberg Physical Therapy Assistant 131 West Wabasha Street, Duluth, MN 55803 2014-03-17
1053642652 Kate Elizabeth Matson Social Worker 5095 Fish Lake Road, Duluth, MN 55803 2010-01-21
1972740025 Danie-marie Osterlund Marriage & Family Therapist 4321 Allendale Ave., Duluth, MN 55803 2009-01-12
1205020419 Marjorie Lynn Gilbertson Registered Nurse 167 Farley Lane, Duluth, MN 55803 2007-08-30
1497894646 Jeffrey Keith Somrock Dentist 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 2007-02-05
1407949167 The Hills Youth and Family Services Clinic/Center 4321 Allendale Avenue, Duluth, MN 55803 2006-10-02
1942567086 Carl Peter Rasmussen Family Medicine 1400 Woodland Ave, Duluth, MN 55803 2012-04-13
1285011692 Chandra J Fischer Midwife 3548 W Tischer Rd, Duluth, MN 55803-1124 2015-05-05
1518143999 Claudia Virginia Weber Psychologist 4298 Charles Rd, Duluth, MN 55803-1270 2008-01-15
Find all providers in zip 55803

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487671319 Sudeshna Nandi Internal Medicine 10160 Medlock Bridge Rd, Duluth, GA 30097-4419 2006-07-16
1063489375 John J Degelau Internal Medicine 407 E 3rd St, Duluth, MN 55805-1950 2006-03-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275191736 Howide Eldib Internal Medicine 4728 Lyndale Ave S Apt 1, Minneapolis, MN 55419-5304 2019-05-30
1689007940 David Pautz Internal Medicine 6313 Westwood Ct, Edina, MN 55436-1149 2013-08-09
1033465505 Manji Belinda Osifeso Internal Medicine 790 West 66th Street, Hcmc Richfield Clinic, Richfield, MN 55423 2012-08-01
1508147224 Jane Carol Pederson Internal Medicine 9478 Wedgewood Dr, Woodbury, MN 55125-9304 2011-09-08
1336445899 Diane Helen Scott Internal Medicine 2545 Hamline Ave N, Apt 211, Roseville, MN 55113 2011-02-01
1497981286 House Call Specialists, Pllc Internal Medicine 115 Oregon Ave S, Golden Valley, MN 55426-1561 2009-06-07
1952582744 Maged Labib Internal Medicine 1920 Mineral Springs Pkwy, Owatonna, MN 55060-2186 2007-11-20
1912118522 Bernadette Kim Quadling Internal Medicine 1415 Lilac Dr N, Ste 190, Golden Valley, MN 55422-4544 2007-05-25
1912046988 Margaret Rice, Md, Pa Internal Medicine 4901 Garfield Ave, Minneapolis, MN 55419-5403 2007-02-06
1649329038 Dennis S Hsieh Internal Medicine 9800 Health Care Ln, Mail Route Pa950-1000, Minnetonka, MN 55343 2007-01-09
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Competitor

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City DULUTH
Zip Code 55803

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Dataset Information

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.

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