TIFFANY M ABRAHAMIAN (NPI# 1447601562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447601562 |
Entity Type | Individual |
Full Name | TIFFANY M ABRAHAMIAN |
Credential | DO |
Practice Address |
407 E 3rd St Duluth MN 55805-1950 |
Mailing Address |
1702 University Dr S Fargo ND 58103-4940 |
Practice Telephone | 2187868364 |
Enumeration Date | 2016-06-29 |
Last Update Date | 2020-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 5101022642 | MI | Allopathic & Osteopathic Physicians |
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
74059-21 | WI | Allopathic & Osteopathic Physicians |
Street Address |
407 E 3RD ST |
City | DULUTH |
State | MN |
Zip Code | 55805-1950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841293347 | Traci A. Rogers | Nurse Practitioner | 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2005-05-27 |
1265039721 | Mark Nicholas Bloss | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-07 |
1679170278 | Paul R Jerve | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-10-06 |
1487280251 | Kara Michelle Nelson | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-12 |
1114552619 | Ivy A Kuschke | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-03-05 |
1083246136 | Kristin L Schomburg | Nurse Anesthetist, Certified Registered | 407 E 3rd St, Duluth, MN 55805-1950 | 2020-02-06 |
1437707957 | Marissa L Engelson | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-28 |
1255987954 | Megan Mcgovern Colborn | Nurse Practitioner | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-18 |
1033764758 | Patrick E Finnegan | Occupational Therapist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-08-08 |
1699333658 | Olivia Ann Lambert | Speech-Language Pathologist | 407 E 3rd St, Duluth, MN 55805-1950 | 2019-06-04 |
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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 | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013141118 | Darren Deandre Naugles | Emergency Medicine | 8920 Firestone Cir, Duluth, GA 30097-6627 | 2009-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457901506 | Centracare Health System | Emergency Medicine | 121 Lake St N, Big Lake, MN 55309-9254 | 2019-09-19 |
1700082781 | Jeffrey A Lee | Emergency Medicine | 111 Riverfront Ste 208, Winona, MN 55987-3456 | 2007-06-26 |
1669544623 | Thomas Charles Koehnen | Emergency Medicine | 38818 730th Ave, Saint James, MN 56081-4482 | 2006-11-14 |
1952385304 | Tracy Alan Powell | Emergency Medicine | 303 Catlin St, Buffalo, MN 55313-1947 | 2005-11-30 |
1831548676 | Sarah Mott | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-10 |
1508129198 | Amy M. O'neil | Emergency Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-06-19 |
1285994517 | Micah Richard Treuer | Emergency Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2012-05-21 |
1528324472 | Erin Austad | Emergency Medicine | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2012-04-04 |
1740457902 | Ram Prasad Paneru | Emergency Medicine | 123 4th St Nw, Bagley, MN 56621-8306 | 2008-05-15 |
1417123688 | Samuel Robert Goblirsch | Emergency Medicine | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2008-05-07 |
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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.