MARK F LUDES (NPI# 1316032758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316032758 |
| Entity Type | Individual |
| Full Name | MARK F LUDES |
| Credential | DO |
| Practice Address |
1216 Ryans Rd Worthington MN 56187-1722 |
| Practice Telephone | 5073722921 |
| Practice Fax Number | 5073725789 |
| Mailing Telephone | 5073722921 |
| Mailing Fax Number | 5073725789 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 40058 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 125698 | 01 |
| IA | 1916122 | 05 | |
| MN | RR MEDICARE | 370011044 | 01 |
| MN | BCBS MPIN | 54A06LU | 01 |
| MN | 863717200 | 05 |
| Street Address |
1216 RYANS RD |
| City | WORTHINGTON |
| State | MN |
| Zip Code | 56187-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839022 | Benjamin Ernest Gaines | Obstetrics & Gynecology | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2005-08-28 |
| 1891335311 | Efrain Ocegueda | Dietitian, Registered | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2020-01-13 |
| 1629632443 | Debra Kay Behrends | Registered Nurse | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2019-04-26 |
| 1730563404 | Amir Makhmalbaf | Internal Medicine | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2015-07-13 |
| 1629472964 | Victoria Blanchette | Nurse Practitioner | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2014-10-15 |
| 1801226188 | Kristal Grigsby | Social Worker | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2013-11-22 |
| 1679826465 | Darlene Renee Dewitt | Dietitian, Registered | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2012-10-18 |
| 1922357839 | Avera Mckennan | Clinic/Center | 1216 Ryans Rd, Suite 2, Worthington, MN 56187-1722 | 2012-09-06 |
| 1609135367 | Katherine Elizabeth Smidt | Advanced Practice Midwife | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2012-05-15 |
| 1821319344 | Syed Asad Shah | Family Medicine | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2010-06-18 |
| Find all providers in the same location | ||||
| 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 |
| 1518433879 | Nicole Block | Nurse Practitioner | 1680 Diagonal Rd, Worthington, MN 56187 | 2018-10-15 |
| 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 |
| Find all providers in zip 56187 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720358732 | Frank William Stroebel | Pediatrics | 248 Melbourne Pl, Worthington, OH 43085-3901 | 2012-01-06 |
| 1932293537 | Lisa K Gerdes | Pediatrics | 508 Tenth Street, Worthington, MN 56187-2343 | 2006-10-03 |
| 1013179241 | Judit Maria Chavarria | Pediatrics | 1018 6th Ave, Worthington, MN 56187-2202 | 2008-06-29 |
| 1851552939 | Nardia S Ataman | Pediatrics | 890 High Street, Suite 200, Worthington, OH 43085-4193 | 2008-06-20 |
| 1831283456 | Bassel Bardan | Pediatrics | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2006-10-03 |
| 1710901467 | Krzysztof Piotr Dygulski | Pediatrics | 1216 Ryans Rd, Worthington, MN 56187-1722 | 2006-07-26 |
| 1588624456 | Eileen Carol Bolton | Pediatrics | 890 High Street, Suite 200, Worthington, OH 43085-4193 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144164 | Sundus Sabrie | Pediatrics | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 | 2020-08-13 |
| 1356998215 | Katie Marie Heille | Pediatrics | 305 W Franklin Ave Apt 201, Minneapolis, MN 55404-2308 | 2019-08-24 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1942736103 | Taylor Ashley Argo | Pediatrics | 717 Delaware Street Se, Suite 353, General Pediatrics & Adolescent Health, Minneapolis, MN 55455 | 2017-05-10 |
| 1932634052 | Christopher Maierhofer | Pediatrics | 715 S 8th St Fl 3, Minneapolis, MN 55404-1210 | 2017-04-26 |
| 1487009817 | Kalli Amber Hess | Pediatrics | 111 Hundertmark Rd #420, Chaska, MN 55318-1459 | 2016-05-04 |
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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.