DR. OBIOMA J. IGBOKO (NPI# 1104082171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104082171 |
| Entity Type | Individual |
| Full Name | DR. OBIOMA J. IGBOKO |
| Credential | MBBS |
| Practice Address |
400 East 3rd Street Essentia Health Duluth Clinic Duluth MN 55805 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 52245 | MN | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
52245 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1104082171 | 05 | |
| MN | 1104082171 | 05 |
| Street Address |
400 EAST 3RD STREET ESSENTIA HEALTH DULUTH CLINIC |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508414 | Catherine Jean Miller | Nurse Practitioner | 400 East 3rd Street, Duluth, MN 55805 | 2005-06-20 |
| 1982854782 | Margaret Jean Hoberg | Nurse Practitioner | 400 East 3rd Street, Smdc Medical Center-duluth Clinic, Duluth, MN 55805 | 2008-09-29 |
| 1720261779 | Jay Michael Shoaps | Surgery | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-12-13 |
| 1306026778 | Justin David Hill | Radiology | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-11-13 |
| 1619169646 | Kristopher H Olson | Anesthesiology | 400 East 3rd Street, Duluth, MN 55805 | 2007-08-14 |
| 1548450018 | Nicole Susanne Seacotte | Obstetrics & Gynecology | 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2007-07-30 |
| 1174727457 | Naeem A Chaudhry | Pediatrics | 400 East 3rd Street, Duluth, MN 55805 | 2007-06-12 |
| 1831392901 | Alexander R Santos | Pediatrics | 400 East 3rd Street, Duluth, MN 55805 | 2007-06-07 |
| 1730398959 | Ziad Alaani | Psychiatry & Neurology | 400 East 3rd Street, Duluth, MN 55805 | 2007-05-22 |
| 1508981333 | Steven John Sutherland | Psychiatry & Neurology | 400 East 3rd Street, Esesntia Health-duluth Clinic, Duluth, MN 55805 | 2007-03-20 |
| Find all providers in the same location | ||||
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922016187 | C J Medical Center, Professional Corporation | Physical Medicine & Rehabilitation | 3540 Duluth Park Ln, Suite # 250, Duluth, GA 30096-6674 | 2006-08-04 |
| 1821535154 | North of Atlanta Pain Clinic, LLC | Physical Medicine & Rehabilitation | 3473 Satellite Blvd, 120 N, Duluth, GA 30096-8690 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774665 | Matthew James Timp | Physical Medicine & Rehabilitation | 2300 24th St Nw Ste 101, Bemidji, MN 56601-6656 | 2011-05-10 |
| 1679863773 | Pain Relief and Wellness of Minnesota | Physical Medicine & Rehabilitation | 4721 Clark Ave, White Bear Lake, MN 55110-3221 | 2011-04-11 |
| 1407174790 | Catherine Y Choi | Physical Medicine & Rehabilitation | 3580 Arcade Ste Ste 100, Vadnais Heights, MN 55127-7135 | 2010-05-11 |
| 1073788519 | Isaac Thomas Marsolek | Physical Medicine & Rehabilitation | 401 Phalen Blved, St Paul, MN 55130-5302 | 2008-04-25 |
| 1457325540 | Adam J Locketz | Physical Medicine & Rehabilitation | 7275 147th St W, Apple Valley, MN 55124-7808 | 2006-02-15 |
| 1548253933 | Advanced Spine Associates Pa | Physical Medicine & Rehabilitation | 8232 Highway 65 Ne, Spring Lake Park, MN 55432-2095 | 2005-08-31 |
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1194259978 | Allina Health System | Physical Medicine & Rehabilitation | 913 E 26th St, Ste 503, Minneapolis, MN 55404-4515 | 2017-04-18 |
| 1861866816 | Sipple Medical LLC | Physical Medicine & Rehabilitation | 2020 E 28th St, Suite 100, Minneapolis, MN 55407-1394 | 2015-11-13 |
| 1184044067 | Sakshi Kaul | Physical Medicine & Rehabilitation | 1200 6th Ave N, Saint Cloud, MN 56303-2736 | 2014-04-18 |
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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.