DR. DISHA MOOKHERJEE (NPI# 1225295108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225295108 |
| Entity Type | Individual |
| Full Name | DR. DISHA MOOKHERJEE |
| Credential | M.D. |
| Practice Address |
1001 E Superior St Ste. L201 Duluth MN 55802-2207 |
| Practice Telephone | 2182493057 |
| Practice Fax Number | 2182493091 |
| Mailing Telephone | 2182493057 |
| Mailing Fax Number | 2182493091 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
52008 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1001 E SUPERIOR ST STE. L201 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391716 | Homam Alkaied | Internal Medicine | 1001 E Superior St, Ste. L101, Duluth, MN 55802-2207 | 2005-10-24 |
| 1952912206 | Corrie Hautajarvi | Nurse Practitioner | 1001 E Superior St, Duluth, MN 55802-2207 | 2020-08-11 |
| 1366948853 | Lainee Hoffman | Physician Assistant | 1001 E Superior St, Duluth, MN 55802-2207 | 2018-04-03 |
| 1528505955 | St. Luke's Hospital of Duluth | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2017-01-24 |
| 1144775420 | Lindsay Marie Johnson | Nurse Practitioner | 1001 E Superior St, Duluth, Duluth, MN 55802-2207 | 2016-08-17 |
| 1770991937 | Jennifer Lynn Marksteiner | Nurse Practitioner | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2014-07-31 |
| 1245676683 | Shawn Patrick Pritchard | Internal Medicine | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2013-05-13 |
| 1386904092 | Rachel Zaudtke Gordon | Internal Medicine | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2012-05-29 |
| 1518223882 | Luke David Midlo | Internal Medicine | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2012-04-11 |
| 1487941993 | Rebekah Beach | Urology | 1001 E Superior St, Suite L201, Duluth, MN 55802-2207 | 2011-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229884 | Medical Software, LLC | Internal Medicine | 3855 Pleasant Hill Rd Ste 350, Duluth, GA 30096-8093 | 2017-08-01 |
| 1487688438 | The Vein Doctor, LLC | Internal Medicine | 4855 River Green Pkwy, Suite 140, Duluth, GA 30096-8336 | 2006-07-10 |
| 1336482314 | Amina Adil | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2013-03-28 |
| 1790913382 | Siva Mohan Krothapalli | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2009-06-23 |
| 1538395686 | Lenore Rosemary Rengel | Internal Medicine | 400 E Third Street, Duluth, MN 55805 | 2009-06-03 |
| 1417112517 | Anemona Anghel-filip | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2008-07-28 |
| 1992975791 | Brett Carlson | Internal Medicine | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2008-03-07 |
| 1881887818 | Kalkidan Genete Bishu | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2007-08-22 |
| 1477669935 | Mark Conrad Neustel | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-08-21 |
| 1114931128 | James Langager | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-27 |
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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.