KALKIDAN GENETE BISHU (NPI# 1881887818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881887818 |
Entity Type | Individual |
Full Name | KALKIDAN GENETE BISHU |
Credential | M.D. |
Practice Address |
400 E 3rd St Duluth MN 55805-1951 |
Mailing Address |
Mss 6av1-pe 400 East Third Street Duluth MN 55805-1951 |
Practice Telephone | 2187868364 |
Mailing Telephone | 2187863146 |
Mailing Fax Number | 2187228972 |
Enumeration Date | 2007-08-22 |
Last Update Date | 2020-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
52162 | MN | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
52162 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | RAILROAD MEDICARE | P01021775 | 01 |
MN | ENROLLED | 05 |
Street Address |
400 E 3RD ST |
City | DULUTH |
State | MN |
Zip Code | 55805-1951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134122799 | Janet S. Bennett | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-05-27 |
1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
1760096416 | Janine M Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-01 |
1912510694 | Emily Stunek | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-24 |
1831709781 | Sarah Ann Yokel | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-05 |
1063020352 | Natalie R Halverson | Speech-Language Pathologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-22 |
1588272470 | Danielle M Huber | Clinical Neuropsychologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-17 |
1326663733 | Bonnie M Gustafson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
1265057640 | Sonja E Hanson | Registered Nurse | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
1588203061 | Erin Laveau-allen | Student in an Organized Health Care Education/Training Program | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-12-31 |
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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 | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477715530 | Leif C Christianson | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2008-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
1578521555 | Michael Jon Manoles | Internal Medicine | 516 Delaware St Se, Pwb, Clinic 3b, Cardiovascular Center, Minneapolis, MN 55455-0356 | 2006-05-01 |
1710962188 | Mark W Erhard | Internal Medicine | 1560 Beam Ave, Suite B, Maplewood, MN 55109-1191 | 2005-12-08 |
1275081812 | Claire Erinee Raphael | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-09-12 |
1235578394 | Amit Sharma | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-06-21 |
1023384211 | Brett Oestreich | Internal Medicine | 420 Delaware St Se, Mmc 508, Minneapolis, MN 55455-0341 | 2012-04-01 |
1194014712 | Stephen Alexander George | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2011-04-05 |
1912223603 | Rory Farnan | Internal Medicine | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-04-20 |
1558599712 | Marat Yanavitski | Internal Medicine | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2009-06-26 |
1841436383 | Marit Elise Thorsgard | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2009-01-06 |
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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.