DR. ROBERT GLENN MCDONALD (NPI# 1093794760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093794760 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GLENN MCDONALD |
| Credential | M. D. |
| Practice Address |
26 E Superior St Suite 205 Duluth MN 55802-2124 |
| Mailing Address |
5724 Homestead Rd Duluth MN 55804-9661 |
| Practice Telephone | 2182494300 |
| Practice Fax Number | 2182494350 |
| Mailing Telephone | 2185251175 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2010-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 39831 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 146719100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972968501 | Robert Henry Mcdonald | Internal Medicine | 220 N Dithridge St, Apt 405, Pittsburgh, PA 15213-1456 | 2015-12-26 |
| 1033507108 | Robert Keith Mcdonald | Registered Nurse | 2539 Samira Rd, Stow, OH 44224-3525 | 2014-12-24 |
| 1770900490 | Robert Lester Mcdonald Jr. | Military Health Care Provider | 3649 Cedar Run Rd, Apt 106, Abilene, TX 79606-2447 | 2014-03-19 |
| 1134561087 | Robert Marshall Mcdonald | Dentist | 8134 Sawyer Brown Rd, Nashville, TN 37221-1402 | 2013-07-19 |
| 1841555869 | Robert William Mcdonald | Specialist | 3220 E Main Rd, Dunkirk, NY 14048-9735 | 2012-07-05 |
| 1578866018 | Robert Vaden Mcdonald | Massage Therapist | 2520 Peachtree Rd Nw, Apt 113, Atlanta, GA 30305-3691 | 2010-12-06 |
| 1154570711 | Robert Wilson Mcdonald | Family Medicine | 5608 Evans Valley Loop, Silverton, OR 97381-0106 | 2008-09-18 |
| 1679660062 | Robert Webb Mcdonald | Family Medicine | 44 Winding Creek Lane, Rochester, NY 14625-1275 | 2006-10-06 |
| 1124067269 | Robert John Mcdonald | Nuclear Medicine | 821 Sand Dollar Dr, Sanibel, FL 33957-7005 | 2006-06-05 |
| 1285671305 | Robert Mcdonald | Family Medicine | 31493 Rancho Pueblo Rd, Suite 107, Temecula, CA 92592-4832 | 2006-05-31 |
| Street Address |
26 E SUPERIOR ST SUITE 205 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093794794 | Peter Alan Wodrich | Family Medicine | 26 E Superior St, Ste. 205, Duluth, MN 55802-2124 | 2006-01-11 |
| 1093168866 | Blaire Marie Hysjulien | Marriage & Family Therapist | 26 E Superior St, Suite 315, Duluth, MN 55802-2124 | 2016-07-18 |
| 1568892644 | Casey L Wyman | Counselor | 26 E Superior St, Suite 315, Duluth, MN 55802-2124 | 2013-11-26 |
| 1962769562 | Jenna Lee Clappier | Family Medicine | 26 E Superior St, Ste. 205, Duluth, MN 55802-2124 | 2012-04-19 |
| 1871850479 | Stephen Joseph Clappier | Family Medicine | 26 E Superior St, Ste. 205, Duluth, MN 55802-2124 | 2012-04-19 |
| 1437431871 | Melissa Ann Nervick-thornton | Counselor | 26 E Superior St, Duluth, MN 55802-2124 | 2011-09-12 |
| 1609037183 | Toni Marie Roberts | Physician Assistant | 26 E Superior St, Ste. 205, Duluth, MN 55802-2124 | 2008-06-18 |
| 1275542037 | Rachel Marie Nelson | Family Medicine | 26 E Superior St, Suite 205, Duluth, MN 55802-2124 | 2006-08-07 |
| 1306870654 | St. Luke's Hospital of Duluth | Family Medicine | 26 E Superior St, Ste 205, Duluth, MN 55802-2196 | 2006-07-11 |
| 1174573208 | Nyasha L.m. Spears | Family Medicine | 26 E Superior St, Ste. 205, Duluth, MN 55802-2124 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553084 | Clement Ayanbadejo LLC | Family Medicine | 2282 Meadow Church Rd Ste 200, Duluth, GA 30097-5318 | 2019-05-14 |
| 1902391923 | Young-tae Kim | Family Medicine | 3610 Peachtree Industrial Blvd Ste 100, Duluth, GA 30096-5139 | 2018-06-22 |
| 1659655538 | Primary Care of Atlanta | Family Medicine | 4124 Chattahoochee Trce, Ste 103, Duluth, GA 30097-2147 | 2011-10-10 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1497087126 | St. Luke's Hospital of Duluth | Family Medicine | 6351 E. Superior St., Duluth, MN 55804-2545 | 2010-02-05 |
| 1861729816 | Mark Steven Grimsley | Family Medicine | 1611 Satellite Blvd Ste 3, Duluth, GA 30097 | 2009-11-12 |
| 1154552990 | Clement O Ayanbadejo | Family Medicine | 2282 Meadow Church Rd, Ste 200, Duluth, GA 30097-5318 | 2009-07-28 |
| 1891950457 | Liem Chi Ngo | Family Medicine | 4470 Satellite Blvd, Suite 204, Duluth, GA 30096-8851 | 2008-07-23 |
| 1962663302 | Martin Charles Hinz | Family Medicine | 1150 88th Ave W, Duluth, MN 55808-1505 | 2008-06-18 |
| 1447422506 | Onelio Emilio Perdomo | Family Medicine | 3750 Venture Drive, Suite 130, Duluth, GA 30096-1808 | 2008-03-28 |
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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.