P J NOSS CORPORATION


Address: 1924 Dunedin Ave, Duluth, MN 55803-2400
Phone: 2183123002

P J NOSS CORPORATION (NPI# 1114387529) 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) 1114387529
Entity Type Organization
Organization Name P J NOSS CORPORATION
Other Organization Name PJ NOSS LLC
Practice Address 1924 Dunedin Ave
Duluth
MN 55803-2400
Practice Telephone 2183123002
Practice Fax Number 2182368933
Mailing Telephone (218) 310-8050
Enumeration Date 2016-02-26
Last Update Date 2018-03-17
Authorized Official Name PHYLLIS J NOSS (OWNER)
Authorized Official Telephone 2183108050
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS BLUE SHIELD 1114387529 01
MN 1114387529 05

Other Provider/Organization Names

Other Name Type Code
PJ Noss LLC Former Legal Business Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1200 E 25th St, Hibbing, MN 557463897 2183123002 2182638933

Office Location

Street Address 1924 DUNEDIN AVE
City DULUTH
State MN
Zip Code 55803-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487745253 Phyllis Noss Radiology 1924 Dunedin Ave, Duluth, MN 55803-2400 2006-09-27

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174837231 Neel Anilkumar Patel Radiology 3840 Peachtree Industrial Blvd Ste 2275, Duluth, GA 30096 2010-07-31
1568695690 Open Mri of Georgia, Inc Radiology 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 2009-08-24
1487745253 Phyllis Noss Radiology 1924 Dunedin Ave, Duluth, MN 55803-2400 2006-09-27
1790711299 Edward M Wineck Radiology 400 E Third Street, Duluth, MN 55805-1951 2006-06-25
1871561803 Brandon Sang Joon Kang Radiology 3620 Howell Ferry Rd, Duluth, GA 30096-3178 2006-03-08
1558338996 Northern Imaging of Duluth LLC Radiology 930 E 2nd St, Duluth, MN 55805 2006-03-03
1083054845 Michelle R Kress Radiology 6325 Hospital Pkwy, Duluth, GA 30097 2013-06-26
1578821963 Gabriel Edwards Radiology 400 E 3rd St, Duluth, MN 55805 2012-04-24
1154554145 Open Mri of Georgia, Inc Radiology 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 2009-08-25
1184856478 Ananth Kumar Ravi Radiology 400 E 3rd St, Duluth, MN 55805-1951 2009-08-20
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Competitor

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City DULUTH
Zip Code 55803

Improve Information

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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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