DR. PHYLLIS NOSS (NPI# 1487745253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487745253 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS NOSS |
| Credential | M.D. |
| Practice Address |
1924 Dunedin Ave Duluth MN 55803-2400 |
| Mailing Address |
1200 E 25th St Hibbing MN 55746-3897 |
| Practice Telephone | 2187246083 |
| Mailing Telephone | (218) 312-3002 |
| Mailing Fax Number | 2182638933 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
44321 | MN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MN44231 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | P00043495 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 087K5NO | 01 |
| MN | MEDICA | 1602543 | 01 |
| MN | MEDICARE | H100320262 | 01 |
| MN | UCARE | 164104 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4572 County Road 61, Moose Lake, MN 557679401 | 2183123002 |
| Street Address |
1924 DUNEDIN AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55803-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114387529 | P J Noss Corporation | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2016-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
| 1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
| 1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
| 1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
| 1497894646 | Jeffrey Keith Somrock | Dentist | 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 | 2007-02-05 |
| 1407949167 | The Hills Youth and Family Services | Clinic/Center | 4321 Allendale Avenue, Duluth, MN 55803 | 2006-10-02 |
| 1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
| 1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
| 1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
| Find all providers in zip 55803 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174837231 | Neel Anilkumar Patel | Radiology | 3840 Peachtree Industrial Blvd Ste 2275, Duluth, GA 30096 | 2010-07-31 |
| 1568695690 | Open Mri of Georgia, Inc | Radiology | 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 | 2009-08-24 |
| 1790711299 | Edward M Wineck | Radiology | 400 E Third Street, Duluth, MN 55805-1951 | 2006-06-25 |
| 1871561803 | Brandon Sang Joon Kang | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2006-03-08 |
| 1558338996 | Northern Imaging of Duluth LLC | Radiology | 930 E 2nd St, Duluth, MN 55805 | 2006-03-03 |
| 1114387529 | P J Noss Corporation | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2016-02-26 |
| 1083054845 | Michelle R Kress | Radiology | 6325 Hospital Pkwy, Duluth, GA 30097 | 2013-06-26 |
| 1578821963 | Gabriel Edwards | Radiology | 400 E 3rd St, Duluth, MN 55805 | 2012-04-24 |
| 1154554145 | Open Mri of Georgia, Inc | Radiology | 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2009-08-25 |
| 1184856478 | Ananth Kumar Ravi | Radiology | 400 E 3rd St, Duluth, MN 55805-1951 | 2009-08-20 |
| 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.