ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1306380571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306380571 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S VASCULAR SURGERY ASSOCIATES |
| Practice Address |
1000 E 1st St Ste. 203 Duluth MN 55805-2297 |
| Practice Telephone | 2182496450 |
| Practice Fax Number | 2182496451 |
| Mailing Telephone | 2182496450 |
| Mailing Fax Number | 2182496451 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | KEVIN NOKELS (PRESIDENT CEO) |
| Authorized Official Telephone | 2182495389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Vascular Surgery Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497087126 | St. Luke's Hospital of Duluth | Family Medicine | 6351 E. Superior St., Duluth, MN 55804-2545 | 2010-02-05 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 1063464154 | St. Luke's Hospital of Duluth | Family Medicine | 8373 Unity Drive, Virginia, MN 55792-4005 | 2006-05-17 |
| 1316999485 | St. Luke's Hospital of Duluth | Family Medicine | 2201 Lake Shore Drive East, Ashland, WI 54806-2331 | 2006-05-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1336774165 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-12 |
| 1275005498 | St. Luke's Hospital of Duluth | Clinic/Center | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2018-12-28 |
| 1205319662 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 930 E 2nd St, Duluth, MN 55805-2104 | 2018-09-12 |
| 1528505955 | St. Luke's Hospital of Duluth | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2017-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. LUKE'S HOSPITAL OF DULUTH | 915 E First St, Duluth, MN 55805-2107 |
| Street Address |
1000 E 1ST ST STE. 203 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205497 | Kundel Pediatric Associates, Pa | Pediatrics | 1000 E 1st St, Ste 204, Duluth, MN 55805-2297 | 2005-06-20 |
| 1356989685 | Alanna Norick | Midwife | 1000 E 1st St, Duluth, MN 55805-2297 | 2019-12-17 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| 1114372349 | Tiffany Venne | Specialist/Technologist | 1000 E 1st St, Ste 404, Duluth, MN 55805-2297 | 2016-04-25 |
| 1780093195 | Kayleigh Hursh | Physician Assistant | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2014-08-11 |
| 1134539158 | Kaytlin Elisabeth Richie | Nurse Practitioner | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2014-04-29 |
| 1942647532 | Jacquelyn Ryan Messer | Nurse Practitioner | 1000 E 1st St, Ste. N203, Duluth, MN 55805-2297 | 2013-05-23 |
| 1184970857 | Danielle Lee Morse | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2012-07-31 |
| 1760737811 | David Labore | Physician Assistant | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2012-07-16 |
| 1124388723 | St. Luke's Hospital of Duluth | Obstetrics & Gynecology | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2012-05-17 |
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| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720423510 | Jason H Hwang | Surgery | 1000 E 1st St Ste 203, Duluth, MN 55805-2297 | 2013-05-07 |
| 1851736185 | Lynsey Erin Rangel | Surgery | 1000 E 1st St Ste 203, Duluth, MN 55805-2297 | 2013-04-30 |
| 1891802955 | Ryan T Hagino | Surgery | 400 East 3rd Street, Duluth, MN 55805 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265721757 | Yauhen Alexander Tarbunou | Surgery | 1200 6th Ave. N., St. Cloud, MN 56303-2735 | 2011-04-05 |
| 1083894836 | Vascular Surgery Associates Pa | Surgery | 3887 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2007-11-09 |
| 1215947288 | Kamran Karimi | Surgery | 6405 France Ave S Ste W320, Edina, MN 55435-2188 | 2006-08-09 |
| 1649217159 | Roger S Hogue | Surgery | 7365 Kirkwood Ct N, Ste 120, Maple Grove, MN 55369-4721 | 2006-06-01 |
| 1720025455 | Rumi Faizer | Surgery | 314 Variety Club Research Center, 401 East River Parkway Division of Vascular Surgery, Minneapolis, MN 55455 | 2006-06-01 |
| 1518938067 | David Reed Knighton | Surgery | 2460 Highway 100 S, St Louis Park, MN 55416-1704 | 2006-01-31 |
| 1679100937 | Jesse Chait | Surgery | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-03-26 |
| 1699235689 | Armin Farazdaghi | Surgery | 200 First Street Sw, Rochester, MN 55905-0001 | 2019-03-25 |
| 1093210262 | Nolan C Cirillo-penn | Surgery | 200 1st St Sw, Rochester, MN 55905 | 2018-03-28 |
| 1760915862 | Indrani Sen | Surgery | 200 1st St Sw, Mayo Clinic, Rochester, Rochester, MN 55905-0001 | 2017-04-05 |
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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.