ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1285688986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285688986 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S NEUROSURGERY ASSOCIATES |
| Practice Address |
1012 E 2nd St Duluth MN 55805-2200 |
| Practice Telephone | 2182492450 |
| Mailing Telephone | 2182492450 |
| 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 | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Neurosurgery Associates | Doing Business As Name - Organization |
| 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 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 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 |
| 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 |
1012 E 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669253 | Douglas W Kaplan | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2005-06-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1942777529 | Cody Thomas Lemay | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-10-31 |
| 1619453032 | Katrina Jean Hough | Specialist/Technologist | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-07-18 |
| 1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
| 1437509874 | Leslie Adrian | Emergency Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-06-16 |
| 1811343973 | Carley Jean Udland | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2016-05-09 |
| 1841651437 | Ashley Marie Chesney | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-03-10 |
| 1982062550 | St. Luke's Hospital of Duluth | Pain Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-02-10 |
| 1073907291 | Jordan Blessing | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2015-03-25 |
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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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396181434 | Mairaj Tariq Sami | Neurological Surgery | 6600 Sugarloaf Pkwy Ste 400-230, Duluth, GA 30097-4344 | 2013-05-16 |
| 1295908002 | Folorunso O Akintobi | Neurological Surgery | 9495 Riverclub Pkwy, Duluth, GA 30097-2410 | 2008-04-12 |
| 1205279510 | Matthew Thomas Davies | Neurological Surgery | 1000 E 1st St Ste 404, Duluth, MN 55805-2297 | 2013-04-17 |
| 1275893075 | Robert Michael Dahlin | Neurological Surgery | 1012 E 2nd St, Duluth, MN 55805 | 2012-05-25 |
| 1720346182 | Andrew Joshua Kobets | Neurological Surgery | 1012 E 2nd St, Duluth, MN 55805-2200 | 2012-04-24 |
| 1508091430 | Dino Terzic | Neurological Surgery | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-05-21 |
| 1508019159 | Robert Peter Bejnarowicz | Neurological Surgery | 1012 E 2nd St, Duluth, MN 55805-2200 | 2008-10-28 |
| 1023267267 | Durga Ram Sure | Neurological Surgery | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2008-09-11 |
| 1285734707 | Robert Francis Donley | Neurological Surgery | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-09-24 |
| 1205868296 | Mark Charles Glazier | Neurological Surgery | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-07 |
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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.