ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1679961551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679961551 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S NEUROLOGY ASSOCIATES |
| Practice Address |
1012 E 2nd St Duluth MN 55805-2200 |
| Practice Telephone | 2182497655 |
| Practice Fax Number | 2182496989 |
| Mailing Telephone | 2182497655 |
| Mailing Fax Number | 2182496989 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. KEVIN NOKELS (PRESIDENT, CEO) |
| Authorized Official Telephone | 2182495389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Neurology 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 |
1012 E 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669253 | Douglas W Kaplan | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2005-06-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1942777529 | Cody Thomas Lemay | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-10-31 |
| 1619453032 | Katrina Jean Hough | Specialist/Technologist | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-07-18 |
| 1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
| 1437509874 | Leslie Adrian | Emergency Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-06-16 |
| 1811343973 | Carley Jean Udland | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2016-05-09 |
| 1841651437 | Ashley Marie Chesney | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-03-10 |
| 1982062550 | St. Luke's Hospital of Duluth | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-02-10 |
| 1073907291 | Jordan Blessing | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2015-03-25 |
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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 |
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| 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 |
| 1174718027 | Roberta Ruth Hallquist | Psychiatry & Neurology | 2812 E Superior St, Duluth, MN 55812-2345 | 2007-09-12 |
| 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 |
| 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 |
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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.