KENNETH DORNFELD (NPI# 1174524300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174524300 |
| Entity Type | Individual |
| Full Name | KENNETH DORNFELD |
| Credential | MD |
| Practice Address |
400 East 3rd Street Duluth MN 55805 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
49970 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
34808 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 679487000 | 05 |
| Street Address |
400 EAST 3RD STREET |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508414 | Catherine Jean Miller | Nurse Practitioner | 400 East 3rd Street, Duluth, MN 55805 | 2005-06-20 |
| 1982854782 | Margaret Jean Hoberg | Nurse Practitioner | 400 East 3rd Street, Smdc Medical Center-duluth Clinic, Duluth, MN 55805 | 2008-09-29 |
| 1104082171 | Obioma J. Igboko | Internal Medicine | 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2008-07-30 |
| 1720261779 | Jay Michael Shoaps | Surgery | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-12-13 |
| 1306026778 | Justin David Hill | Radiology | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-11-13 |
| 1619169646 | Kristopher H Olson | Anesthesiology | 400 East 3rd Street, Duluth, MN 55805 | 2007-08-14 |
| 1548450018 | Nicole Susanne Seacotte | Obstetrics & Gynecology | 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2007-07-30 |
| 1174727457 | Naeem A Chaudhry | Pediatrics | 400 East 3rd Street, Duluth, MN 55805 | 2007-06-12 |
| 1831392901 | Alexander R Santos | Pediatrics | 400 East 3rd Street, Duluth, MN 55805 | 2007-06-07 |
| 1730398959 | Ziad Alaani | Psychiatry & Neurology | 400 East 3rd Street, Duluth, MN 55805 | 2007-05-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306280573 | Daniel James Tandberg | Radiology | 400 East Third Street, Duluth, MN 55805-1951 | 2013-04-18 |
| 1992935084 | Jessica Wynn Rooney Sawyer | Radiology | 400 E 3rd St, Duluth, MN 55805-1951 | 2009-07-23 |
| 1962607499 | Nils D Arvold | Radiology | 1001 E Superior St, Ste. L101, Duluth, MN 55802-2207 | 2007-06-15 |
| 1316971864 | David Mcnaney | Radiology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-10 |
| 1174577878 | St. Luke's Hospital of Duluth | Radiology | 1001 E Superior St, Ste L101, Duluth, MN 55802-2207 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031423 | Kai Jiang | Radiology | 617 4th St Sw Apt 3, Rochester, MN 55902-3286 | 2019-06-06 |
| 1508205311 | Somu Suppiah | Radiology | 6500 Excelsior Blvd Dept Of, St Louis Park, MN 55426 | 2013-06-14 |
| 1063858769 | Sumit Sean Sood | Radiology | 5160 Fairview Blvd Ste 1100, Wyoming, MN 55092-8050 | 2013-05-21 |
| 1831535863 | Megan Gentry Hodges | Radiology | 1900 Centracare Circle #1600, Centracare Clinic Health Plaza Radiology/oncology, St Cloud, MN 56303-5000 | 2013-05-16 |
| 1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
| 1396909404 | James Lee Ecker | Radiology | 10448 Vera Cruz Dr N, Brooklyn Park, MN 55443-2555 | 2008-07-17 |
| 1275627820 | Xin Wang | Radiology | The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 | 2006-10-03 |
| 1295759009 | Gregory Evan Meyers | Radiology | 6950 France Ave S Ste 200, Edina, MN 55435-2025 | 2006-07-26 |
| 1770526188 | Nathan Earl Hilton | Radiology | 215 Ivy St, Brainerd, MN 56401-3000 | 2006-06-14 |
| 1124082136 | Janel A Cox | Radiology | 631 Goodrich Ave, Saint Paul, MN 55105-3522 | 2006-04-14 |
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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.