DR. JOHN G LUNDBLAD (NPI# 1225004534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225004534 |
| Entity Type | Individual |
| Full Name | DR. JOHN G LUNDBLAD |
| Credential | MD |
| Practice Address |
1680 Diagonal Rd Worthington MN 56187-1008 |
| Practice Telephone | 5073923800 |
| Practice Fax Number | 5073923806 |
| Mailing Telephone | 5073923800 |
| Mailing Fax Number | 5073923806 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 41673 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1680 DIAGONAL RD |
| City | WORTHINGTON |
| State | MN |
| Zip Code | 56187-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265994 | Fernando Escobar | Surgery | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2005-06-14 |
| 1518590058 | William James Rodney Nelson | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2020-02-12 |
| 1932755402 | Alettie Jane Lewis | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2019-08-12 |
| 1518433879 | Nicole Block | Nurse Practitioner | 1680 Diagonal Rd, Worthington, MN 56187 | 2018-10-15 |
| 1174005193 | Barbara Jean Pieske | Social Worker | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2018-09-06 |
| 1255880621 | Kelli Kristine Hinsch | Nurse Practitioner | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2016-09-27 |
| 1104371897 | Katie Talbott | Physician Assistant | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2016-08-23 |
| 1346693397 | Elena Canfield | Family Medicine | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2016-07-14 |
| 1679923973 | Jenna Wolfe | Internal Medicine | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2016-06-16 |
| 1235589797 | Erin Moeller | Social Worker | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2016-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316224363 | Paul Michael Carlson | Dentist | 507 South Shore Drive, Worthington, MN 56187 | 2011-11-04 |
| 1912216540 | Nobles County Jail | Clinic/Center | 1530 Airport Road, Worthington, MN 56187 | 2010-09-30 |
| 1306984539 | Edward Thomas Mcniece | Dentist | 1027 Second Ave, Worthington, MN 56187 | 2007-02-01 |
| 1053338780 | Diagnostic Radiologic Imaging Pa | Radiology | 1607 N Mcmillan St, Ste 1, Worthington, MN 56187 | 2006-07-17 |
| 1427014232 | Scott James Hoffman | Podiatrist | 1205 Ryans Road, Worthington, MN 56187 | 2006-04-21 |
| 1588654404 | Jason Coy Turner | Pharmacist | 511 10th St, Worthington, MN 56187 | 2005-10-22 |
| 1033423322 | Rachael R Dekker | Nurse Practitioner | 1018 6th Ave, Worthington, MN 56187 | 2010-07-29 |
| 1417196601 | Jonathan Gabriel Eli-phillips | Obstetrics & Gynecology | 1018 6th Ave, Worthington, MN 56187 | 2009-02-11 |
| 1174716245 | Sanford Clinic | Radiology | 1018 6th Ave, Worthington, MN 56187 | 2007-08-22 |
| 1144637943 | Molly Carrigg Greene Bishop | Music Therapist | 1635 Oakwood Dr, Worthington, MN 56187-1060 | 2014-07-14 |
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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 |
|---|---|---|---|---|
| 1508919804 | Keyurkumar Anilkumar Shah | Surgery | 1216 Ryans Rd Ste 1, Worthington, MN 56187-1722 | 2007-01-19 |
| 1548265994 | Fernando Escobar | Surgery | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2005-06-14 |
| 1477960060 | Akram Ahmed Ibrahim Ahmed | Surgery | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2014-07-16 |
| 1114013638 | Connie L Morrison | Surgery | 1216 Ryans Rd, Suite 1, Worthington, MN 56187-1722 | 2006-10-04 |
| 1174628184 | James D Harris | Surgery | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2006-09-14 |
| 1356389118 | Gaddum P Reddy | Surgery | 1680 Diagonal Rd, Worthington, MN 56187-1008 | 2006-06-03 |
| 1922096551 | Steven K. Branch | Surgery | 1680 Diagonal Rd, Worthington, MN 56187 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725197 | Advanced Surgical Associates of Northern Minnesota LLC | Surgery | 4325 9th Ave W, Hibbing, MN 55746-3032 | 2020-09-23 |
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1063899250 | Andrew Bergersen | Surgery | 3366 Oakdale Ave N Ste 303, Robbinsdale, MN 55422-2977 | 2015-04-27 |
| 1619362001 | Sean Luke Peterson | Surgery | 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 | 2015-04-02 |
| 1699173716 | Caliann Tsuitsin Lum | Surgery | 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 | 2014-12-06 |
| 1972920338 | Emily Rapstine Bond | Surgery | 420 Delaware St Se # 207, Minneapolis, MN 55455 | 2014-03-24 |
| 1518200914 | Jessica Shaheen | Surgery | 303 E Nicollet Blvd Ste 300, Burnsville, MN 55337 | 2013-04-03 |
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| City | WORTHINGTON |
| Zip Code | 56187 |
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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.