KUNDEL PEDIATRIC ASSOCIATES, PA (NPI# 1942205497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942205497 |
| Entity Type | Organization |
| Organization Name | KUNDEL PEDIATRIC ASSOCIATES, PA |
| Practice Address |
1000 E 1st St Ste 204 Duluth MN 55805-2297 |
| Practice Telephone | 2187221408 |
| Practice Fax Number | 2187223055 |
| Mailing Telephone | 2187221408 |
| Mailing Fax Number | 2187223055 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAY L KUNDEL (OWNER) |
| Authorized Official Telephone | 2187221408 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22787 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1000 E 1ST ST STE 204 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989685 | Alanna Norick | Midwife | 1000 E 1st St, Duluth, MN 55805-2297 | 2019-12-17 |
| 1306380571 | St. Luke's Hospital of Duluth | Surgery | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2016-12-07 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| 1114372349 | Tiffany Venne | Specialist/Technologist | 1000 E 1st St, Ste 404, Duluth, MN 55805-2297 | 2016-04-25 |
| 1780093195 | Kayleigh Hursh | Physician Assistant | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2014-08-11 |
| 1134539158 | Kaytlin Elisabeth Richie | Nurse Practitioner | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2014-04-29 |
| 1942647532 | Jacquelyn Ryan Messer | Nurse Practitioner | 1000 E 1st St, Ste. N203, Duluth, MN 55805-2297 | 2013-05-23 |
| 1184970857 | Danielle Lee Morse | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2012-07-31 |
| 1760737811 | David Labore | Physician Assistant | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2012-07-16 |
| 1124388723 | St. Luke's Hospital of Duluth | Obstetrics & Gynecology | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2012-05-17 |
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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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538583976 | Laurie Boden | Pediatrics | 3645 Howell Ferry Road, Duluth, GA 30096 | 2014-02-05 |
| 1962763359 | Ann Adair Cody Simones | Pediatrics | 502 East Second Street, Duluth, MN 55805-1951 | 2012-06-03 |
| 1922374297 | Gc Duluth Pediatrics, Inc. | Pediatrics | 3435 Duluth Park Ln Ste A, Duluth, GA 30096-3259 | 2012-03-30 |
| 1215138524 | Cooper Pediatrics | Pediatrics | 3645 Howell Ferry Rd, Suite A, Duluth, GA 30096-3179 | 2007-05-31 |
| 1215018023 | Janet Jung | Pediatrics | 2518 Duluth Hwy, Suite 102, Duluth, GA 30097-4200 | 2006-10-18 |
| 1437167939 | Susan D Smith | Pediatrics | 3645 A Howell Ferry Rd, Duluth, GA 30096 | 2006-08-03 |
| 1457383788 | Jeffrey D Cooper | Pediatrics | 3645a Howell Ferry Road, Duluth, GA 30096 | 2006-07-07 |
| 1851321962 | Gail F Smith | Pediatrics | 3645 A Howell Ferry Road, Duluth, GA 30096 | 2006-07-04 |
| 1205886074 | Kathryn M Benson | Pediatrics | 3497 Duluth Park Lane, Ste 200, Duluth, GA 30096 | 2006-05-11 |
| 1790740249 | Teresa Marie Petros | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2006-04-19 |
| 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.