NORTHLAND UROLOGY ASSO. P.A. (NPI# 1932125820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932125820 |
| Entity Type | Organization |
| Organization Name | NORTHLAND UROLOGY ASSO. P.A. |
| Practice Address |
1000 E 1st St Ste 306 Duluth MN 55805-2297 |
| Practice Telephone | 2187278414 |
| Practice Fax Number | 2187278416 |
| Mailing Telephone | 2187278414 |
| Mailing Fax Number | 2187278416 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SIMON P ZADINA (PRESIDENT) |
| Authorized Official Telephone | 2187278414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 033196 | MN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 4298977 | 05 |
| Street Address |
1000 E 1ST ST STE 306 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1942510904 | Amanda Rose Kerola | Specialist | 2814 Minnesota Ave, Duluth, MN 55802-2526 | 2010-10-08 |
| 1639323827 | Elegant Touch Massage Therapy | Specialist | 2590 Peachtree Industrial Blvd Ste D, Duluth, GA 30097-3405 | 2008-11-14 |
| 1003089418 | Gwinnett Multi Specialty Group LLC | Specialist | 3840 Peachtree Industrial Boulevard, Duluth, GA 30096-4847 | 2008-04-07 |
| 1790954279 | Generations Health Care Initiative Inc | Specialist | 5 N 3rd Ave W, Suite 310, Duluth, MN 55802 | 2008-02-28 |
| 1912067877 | Barbara Joy Bergstrom | Specialist | 4505 W Superior St, Duluth, MN 55807-2728 | 2006-12-11 |
| 1851474506 | Heide's Mastectomy Services of Duluth. | Specialist | 701 1/2 North 6th Ave. East, Duluth, MN 55805-1333 | 2006-10-23 |
| 1447342241 | Advanced Prosthetics Inc | Specialist | 3540 Duluth Park Lane, Suite 230, Duluth, GA 30096 | 2006-09-29 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1043269228 | Sandy Popham | Specialist | 1001 E Superior St Ste L201, Duluth, MN 55802-2207 | 2006-05-08 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on NORTHLAND UROLOGY ASSO. P.A..
| 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.