OCCUPATIONAL AND MANUAL MEDICINE OF DULUTH (NPI# 1821251455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821251455 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL AND MANUAL MEDICINE OF DULUTH |
| Practice Address |
1420 London Rd Suite 102b Duluth MN 55805-2433 |
| Practice Telephone | 2187246002 |
| Mailing Telephone | 2187246002 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | SHARON OBST (MANAGER) |
| Authorized Official Telephone | 2187246002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
30428 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 264783400 | 05 |
| Street Address |
1420 LONDON RD SUITE 102B |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116942 | Sara King Downs | Audiologist | 1420 London Rd, Suite 105, Duluth, MN 55805-2433 | 2005-07-07 |
| 1851640478 | Kristy Lynn Derosia | Dental Hygienist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2012-08-29 |
| 1235467655 | Eva Grant Trueblood-pearce | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2009-11-23 |
| 1942450143 | Sara Beth Chmielewski | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2008-09-24 |
| 1114110624 | Lisa Marie Mcinally | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-08-20 |
| 1447456058 | Kara Conry | Dentist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2007-06-21 |
| 1740311067 | Northern Arm & Hand Center, Inc. | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-03-08 |
| 1477612604 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Duluth, MN 55805-2433 | 2006-12-06 |
| 1649376682 | Janice Culliton | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
| 1205932258 | Tonya Benzie | Occupational Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
| Find all providers in the same location | ||||
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588789911 | Heidi L Chichester | Preventive Medicine | 2590 Peachtree Industrial Blvd, Suite D, Duluth, GA 30097-7909 | 2007-03-21 |
| 1144346917 | Demetria M Francis | Preventive Medicine | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2007-03-22 |
| 1245371657 | James Andrew Palmier | Preventive Medicine | 5805 State Bridge Rd, Suite G 367, Duluth, GA 30097-8220 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605874 | Healthstat Health Center Allianz | Preventive Medicine | 5901 Golden Hills Dr, Golden Valley, MN 55416-1225 | 2020-09-24 |
| 1073997094 | Healthstat Onsite Clinic-marvin Companies | Preventive Medicine | 802 State Ave Ne, Warroad, MN 56763 | 2015-07-20 |
| 1275931206 | Healthstat On-site Clinic Watlow Winona Mn | Preventive Medicine | 1241 Bundy Blvd, Winona, MN 55987-4873 | 2014-12-08 |
| 1164769527 | Miles Smith Snowden | Preventive Medicine | 3121 W 69th St, Apt 114, Edina, MN 55435-2559 | 2013-01-05 |
| 1629328299 | Healthstat Arkansas/pace Ind.- Pti | Preventive Medicine | 310 Congress St. W, Maple Lake, MN 55358 | 2012-09-11 |
| 1144570714 | Healthstat Arkansas/pace Ind.- St. Paul | Preventive Medicine | 3737 Lexington Ave. N, St. Paul, MN 55126 | 2012-09-11 |
| 1740418144 | Linda Karen Miller | Preventive Medicine | 620 16th St Sw, Rochester, MN 55902-2154 | 2009-06-24 |
| 1033256706 | Larry Ray Zobel | Preventive Medicine | 220 6w 08 3m Ctr, Saint Paul, MN 55144-0001 | 2007-01-31 |
| 1679673321 | Gary B Johnson | Preventive Medicine | 5100 Gamble Dr. Suite 100, Mail Stop 31200a, Healthpartners West Clinic, St. Louis Park, MN 55416-1582 | 2006-09-23 |
| 1255317376 | Michael N Goertz | Preventive Medicine | 401 Phalen Blvd - Ms 11503g, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2005-12-20 |
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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.