Elisabeth Jane Gibbons (NPI# 1790042182, PAC ID# 7012158652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1790042182 |
PAC ID by PECOS | 7012158652 |
Professional Enrollment ID | I20130724000945 |
Full Name | Elisabeth Jane Gibbons |
Organization Legal Name | ST LUKES HOSPITAL OF DULUTH |
Address |
4702 Grand Ave Duluth MN 55807-2742 |
Phone Number | 2182496800 |
Gender | F |
Medical School | MEDICAL COLLEGE OF WISCONSIN |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 7113834839 |
Number of Group Practice Members | 341 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240047 | ST LUKES HOSPITAL |
Address | Phone | Organization |
---|---|---|
4702 Grand Ave, Duluth, MN 55807-2742 | 2182496800 | ST LUKES HOSPITAL OF DULUTH |
Organization Legal Name | ST LUKES HOSPITAL OF DULUTH |
Physicians | 314 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth M Lafrance | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Nichole Marie Dorn | Nurse Practitioner | St Lukes Hospital of Duluth | 619 W Central Entrance, Duluth, MN 55811-5448 |
Bari S Hillman | Psychologist, Clinical | St Lukes Hospital of Duluth | 26 E Superior St, Suite 205, Duluth, MN 55802-2196 |
Sally L Bruestle | Physician Assistant | St Lukes Hospital of Duluth | 50 Outer Dr, Silver Bay, MN 55614-1102 |
Pamela B Landsteiner | Dermatology | St Lukes Hospital of Duluth | 920 E 1st St, Suite 201, Duluth, MN 55805-2215 |
Dana R Katchka | Nurse Practitioner | St Lukes Hospital of Duluth | 2201 Lake Shore Dr E, Ashland, WI 54806-2331 |
Tara L Richter | Psychologist, Clinical | St Lukes Hospital of Duluth | 220 N 6th Ave E, Duluth, MN 55805-1952 |
Megan J Hoel | Family Medicine | St Lukes Hospital of Duluth | 109 N 28th St E, Superior, WI 54880-6548 |
Erin R Thielbar | Nurse Practitioner | St Lukes Hospital of Duluth | 8373 Unity Dr, Virginia, MN 55792-4005 |
Timothy David Kufahl | Family Medicine | St Lukes Hospital of Duluth | 324 W Superior St, Suite 220, Duluth, MN 55802-1707 |
Street Address |
4702 GRAND AVE |
City | DULUTH |
State | MN |
Zip | 55807-2742 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hudson M Omweri | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Kara L Fausch | Family Medicine | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Sarah E Blanshan | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Stephanie J Garofalo | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Kimberly K Grob | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Mary E Jaeger | Certified Clinical Nurse Specialist (cns) | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Kristin M Stevens | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
Adam Sundberg | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
Joel M Harris | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
Norman D Radtke | Physical Therapy | 215 N Central Ave, Suite 14b, Duluth, MN 55807-2473 | |
Find all physicians in zip 55807 |
City | DULUTH |
Zip Code | 55807 |
Specialty | FAMILY MEDICINE |
City + Specialty | DULUTH + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.