STEPHEN JAMES HUDDLESTON (NPI# 1104037621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104037621 |
| Entity Type | Individual |
| Full Name | STEPHEN JAMES HUDDLESTON |
| Credential | MD |
| Practice Address |
920 E 1st St Ste. P303 Duluth MN 55805-2201 |
| Practice Telephone | 2182496050 |
| Practice Fax Number | 2182406055 |
| Mailing Telephone | 2182496050 |
| Mailing Fax Number | 2182406055 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 46209 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992022800 | Stephen Michael Huddleston | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2010-05-01 |
| Street Address |
920 E 1ST ST STE. P303 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857101 | David M Choquette | Otolaryngology | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2005-11-10 |
| 1205440823 | Abigail Frances Bushey | Physician Assistant | 920 E 1st St, Duluth, MN 55805-2201 | 2020-09-01 |
| 1033653209 | St. Luke's Hospital of Duluth | Otolaryngology | 920 E 1st St, Ste. 301, Duluth, MN 55805-2225 | 2016-12-07 |
| 1225428766 | Brittany Lynn Kuehn | Physician Assistant | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2015-02-04 |
| 1699021097 | Chad Matthew Kittleson | Audiologist | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2012-08-03 |
| 1417227661 | Michael Paul Stellmaker | Surgery | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2012-01-05 |
| 1326322017 | Callie Kunze | Physician Assistant | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2011-09-29 |
| 1649567173 | Sara Nilsson Lund | Internal Medicine | 920 E 1st St, Ste. 102, Duluth, MN 55805-2201 | 2011-07-05 |
| 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 |
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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 |
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| 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 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 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 |
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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.