ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1083668784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083668784 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S SURGICAL ASSOCIATES |
| Practice Address |
920 E 1st St Ste 302 Duluth MN 55805 |
| Mailing Address |
920 E 1st St Ste 302 Duluth MN 55805-2225 |
| Practice Telephone | 2182496050 |
| Mailing Telephone | 2182496050 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. KEVIN NOKELS (PRESIDENT, CEO) |
| Authorized Official Telephone | 2182495389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Surgical Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 E 1st St, Ste 201, Duluth, MN 558052201 | 2182497950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497087126 | St. Luke's Hospital of Duluth | Family Medicine | 6351 E. Superior St., Duluth, MN 55804-2545 | 2010-02-05 |
| 1063464154 | St. Luke's Hospital of Duluth | Family Medicine | 8373 Unity Drive, Virginia, MN 55792-4005 | 2006-05-17 |
| 1316999485 | St. Luke's Hospital of Duluth | Family Medicine | 2201 Lake Shore Drive East, Ashland, WI 54806-2331 | 2006-05-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1336774165 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-12 |
| 1275005498 | St. Luke's Hospital of Duluth | Clinic/Center | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2018-12-28 |
| 1205319662 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 930 E 2nd St, Duluth, MN 55805-2104 | 2018-09-12 |
| 1528505955 | St. Luke's Hospital of Duluth | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2017-01-24 |
| 1306380571 | St. Luke's Hospital of Duluth | Surgery | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2016-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. LUKE'S HOSPITAL OF DULUTH | 915 E First St, Duluth, MN 55805-2107 |
| Street Address |
920 E 1ST ST STE 302 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447790 | Sarah M.h. Johnson | Physician Assistant | 920 E 1st St Ste 302, Duluth, MN 55805 | 2016-02-18 |
| 1992080006 | Crystal D O'connell | Physician Assistant | 920 E 1st St Ste 302, Duluth, MN 55805 | 2011-10-20 |
| 1740591338 | Katie Sorensen | Physician Assistant | 920 E 1st St Ste 302, Duluth, MN 55805-2225 | 2010-06-29 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072025 | Erjia Bao | Surgery | 11205 Abbotts Walk Dr, Duluth, GA 30097-8457 | 2017-06-07 |
| 1861733495 | Karen Warlaw | Surgery | 3936 Carriage Gate Dr, Duluth, GA 30096-2785 | 2013-03-06 |
| 1659497907 | Jerry Curtis Tootle | Surgery | 2655 Gadsen Walk, Duluth, GA 30097-4351 | 2007-03-21 |
| 1417227661 | Michael Paul Stellmaker | Surgery | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2012-01-05 |
| 1952691925 | Jennifer E Witt | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-12 |
| 1447540521 | Joshua M Larson | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-11 |
| 1336468107 | Nisar Zaidi | Surgery | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2010-05-19 |
| 1639494362 | Kristin Pokorney Colling | Surgery | 400 E 3rd St, Duluth, MN 55805 | 2010-04-06 |
| 1346579349 | Krista Wilhelmson | Surgery | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-12-22 |
| 1598904740 | Miguel B Delmazo | Surgery | 3215 Mcclure Bridge Rd, Duluth, GA 30096 | 2009-02-11 |
| 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.