LAKEWALK SURGERY CENTER, INC. (NPI# 1023651916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023651916 |
| Entity Type | Organization |
| Organization Name | LAKEWALK SURGERY CENTER, INC. |
| Practice Address |
1420 London Rd Ste 100 Duluth MN 55805-2437 |
| Practice Telephone | 2187288505 |
| Mailing Telephone | 2187288505 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | ANN MARIE FOSNESS (ADMINISTRATOR) |
| Authorized Official Telephone | 2187288505 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891730644 | Lakewalk Surgery Center, Inc. | Clinic/Center | 1420 London Rd, Suite 100, Duluth, MN 55805-2433 | 2006-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKEWALK SURGERY CENTER, INC. | 1420 London Rd Ste 100, Duluth, MN 55805-2437 |
| Street Address |
1420 LONDON RD STE 100 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710275128 | Megan Jennie Baertsch | Nurse Practitioner | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2011-07-19 |
| 1194165050 | Christopher Michael Davies | Anesthesiology | 1420 London Rd Ste 100, Duluth, MN 55805 | 2013-06-25 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730603622 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2017-08-01 |
| 1811052749 | Gdc Endoscopy Center LLC | Clinic/Center | 2887 Darlington Run, Duluth, GA 30097-4315 | 2006-12-22 |
| 1356988554 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2019-12-06 |
| 1669971214 | Moody Surgical Associates, LLC | Clinic/Center | 3540 Duluth Park Ln Ste 290, Duluth, GA 30096 | 2018-02-09 |
| 1740528934 | Prima Ambulatory Surgical Services | Clinic/Center | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2013-01-22 |
| 1487793758 | North Atlanta Orthopaedic Surgery Center | Clinic/Center | 10670 Medlock Bridge Rd, Duluth, GA 30097 | 2007-02-05 |
| 1891730644 | Lakewalk Surgery Center, Inc. | Clinic/Center | 1420 London Rd, Suite 100, Duluth, MN 55805-2433 | 2006-06-17 |
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|---|---|---|---|---|
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| 1902410368 | Inspired Spine Surgcenter LLC | Clinic/Center | 7400 France Ave S Ste 102, Edina, MN 55435-4738 | 2020-09-03 |
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1942760285 | Altru Health System Ambulatory Surgery Centers LLC | Clinic/Center | 400 S Minnesota St Ste B, Crookston, MN 56716-1808 | 2019-03-22 |
| 1396229746 | Avera Marshall | Clinic/Center | 1521 Carlson St Ste 200, Marshall, MN 56258-2626 | 2018-09-21 |
| 1891297925 | Pediatric Center Holdings, LLC | Clinic/Center | 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 | 2018-03-05 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
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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.