DR. ROBERTA RUTH HALLQUIST (NPI# 1174718027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174718027 |
| Entity Type | Individual |
| Full Name | DR. ROBERTA RUTH HALLQUIST |
| Credential | M.D. |
| Practice Address |
2812 E Superior St Duluth MN 55812-2345 |
| Practice Telephone | 2187243024 |
| Mailing Telephone | 2187243024 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
45428 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
2812 E SUPERIOR ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497905913 | Dong Wang | Psychiatry & Neurology | 3790 Pleasant Hill Rd Ste 250, Duluth, GA 30096-5150 | 2008-09-20 |
| 1760528418 | Amber Irene Erickson | Psychiatry & Neurology | 400 E. 3rd St, Smdc Medical Center - Duluth Clinic, Duluth, MN 55805 | 2007-01-29 |
| 1912903485 | Philip R Kennedy | Psychiatry & Neurology | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2005-06-21 |
| 1588669253 | Douglas W Kaplan | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2005-06-17 |
| 1518346188 | Jacob Andrew Hvidston | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2015-05-28 |
| 1679961551 | St. Luke's Hospital of Duluth | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2014-12-31 |
| 1922417633 | Georgia Neurodiagnostic & Treatment Center LLC. | Psychiatry & Neurology | 3790 Pleasant Hill Rd Ste 250, Duluth, GA 30096-5150 | 2014-08-06 |
| 1013203033 | Chena Margaret-filizetti Beauduy | Psychiatry & Neurology | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2011-06-28 |
| 1548572647 | Aboubakar Sharaf | Psychiatry & Neurology | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2010-07-06 |
| 1912132572 | Brian Patrick Moran | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2009-05-26 |
| Find all providers in DULUTH | ||||
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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.