FREDRICK E EKBERG (NPI# 1336126317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336126317 |
| Entity Type | Individual |
| Full Name | FREDRICK E EKBERG |
| Credential | M.D. |
| Practice Address |
925 E Superior St Suite 109 Duluth MN 55802-2238 |
| Practice Telephone | 2187223700 |
| Practice Fax Number | 2187228705 |
| Mailing Telephone | 2187223700 |
| Mailing Fax Number | 2187228705 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
16940 | MN | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
16940 | MN | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
16940 | MN | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
16940 | MN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
16940 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
16940 | MN | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
16940 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 1601359 | 01 | |
| HEALTHPARTNERS | HP32349 | 01 | |
| WI | 30725300 | 05 | |
| MN | 375397200 | 05 |
| Street Address |
925 E SUPERIOR ST SUITE 109 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659600435 | Christopher Mark Reilly | Radiology | 925 E Superior St, Ste 109, Duluth, MN 55802-2238 | 2009-12-08 |
| 1023297017 | Rebecca Lynn Kuntz | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2007-10-26 |
| 1629287792 | Home Dialysis Duluth Kidney Services | Internal Medicine | 925 E Superior St, Suite 106, Duluth, MN 55802-2238 | 2007-05-22 |
| 1962610923 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 925 E Superior St, Suite 107, Duluth, MN 55802-2238 | 2007-05-21 |
| 1881733061 | James T Jarosz | Dentist | 925 E Superior St, Suite 101, Duluth, MN 55802-2238 | 2007-02-05 |
| 1295880045 | Kathrynne Marie Dryke | Dentist | 925 E Superior St, 101, Duluth, MN 55802-2238 | 2007-01-24 |
| 1932256948 | Mary S Nett | Radiology | 925 E Superior St, Suite 109, Duluth, MN 55802-2238 | 2007-01-04 |
| 1174670186 | William E. Johnson | Radiology | 925 E Superior St, Suite109, Duluth, MN 55802-2238 | 2007-01-04 |
| 1912932922 | Calvin Cardin Loken | Specialist | 925 E Superior St, Duluth, MN 55802-2238 | 2006-07-11 |
| 1003848375 | Gentiva Certified Healthcare Corp. | Home Health | 925 E Superior St, Suite 104, Duluth, MN 55802-2253 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174837231 | Neel Anilkumar Patel | Radiology | 3840 Peachtree Industrial Blvd Ste 2275, Duluth, GA 30096 | 2010-07-31 |
| 1568695690 | Open Mri of Georgia, Inc | Radiology | 10670 Medlock Bridge Rd Ste A, Duluth, GA 30097-8441 | 2009-08-24 |
| 1487745253 | Phyllis Noss | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2006-09-27 |
| 1790711299 | Edward M Wineck | Radiology | 400 E Third Street, Duluth, MN 55805-1951 | 2006-06-25 |
| 1871561803 | Brandon Sang Joon Kang | Radiology | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 | 2006-03-08 |
| 1558338996 | Northern Imaging of Duluth LLC | Radiology | 930 E 2nd St, Duluth, MN 55805 | 2006-03-03 |
| 1114387529 | P J Noss Corporation | Radiology | 1924 Dunedin Ave, Duluth, MN 55803-2400 | 2016-02-26 |
| 1083054845 | Michelle R Kress | Radiology | 6325 Hospital Pkwy, Duluth, GA 30097 | 2013-06-26 |
| 1578821963 | Gabriel Edwards | Radiology | 400 E 3rd St, Duluth, MN 55805 | 2012-04-24 |
| 1154554145 | Open Mri of Georgia, Inc | Radiology | 6630 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2009-08-25 |
| Find all providers in DULUTH | ||||
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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.