DULUTHTMS, LLC (NPI# 1356876163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356876163 |
| Entity Type | Organization |
| Organization Name | DULUTHTMS, LLC |
| Practice Address |
202 N 24th Ave E Duluth MN 55812-1859 |
| Practice Telephone | 6124233238 |
| Mailing Telephone | 6124233238 |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2017-04-29 |
| Authorized Official Name | DR. ERIC A JOHNSON (SOLO MEMBER) |
| Authorized Official Telephone | 6124233238 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
41189 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
202 N 24TH AVE E |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750464640 | Eric Austin Johnson | Psychiatry & Neurology | 202 N 24th Ave E, Duluth, MN 55812-1859 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306106588 | Joseph Frank Spencer | Psychiatry & Neurology | 626 W 2nd St, Duluth, MN 55806-2419 | 2012-05-22 |
| 1497818124 | Arun A. Pol, Md, PC | Psychiatry & Neurology | 6290 Abbotts Bridge Rd, Suite 502, Duluth, GA 30097-8495 | 2006-12-17 |
| 1750464640 | Eric Austin Johnson | Psychiatry & Neurology | 202 N 24th Ave E, Duluth, MN 55812-1859 | 2006-10-23 |
| 1841390309 | Jeffrey L. Rausch | Psychiatry & Neurology | 4233 Pleasant Hill Rd, Ste 200, Duluth, GA 30096-1609 | 2006-09-25 |
| 1811921596 | Steven J Bauer | Psychiatry & Neurology | 1406 E 2nd St, Duluth, MN 55805-2378 | 2006-07-10 |
| 1043835747 | Rebuilding Hope | Psychiatry & Neurology | 2392 Harpers Way, Duluth, GA 30097-5176 | 2020-06-09 |
| 1659788115 | Kirsten E Cowan | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2014-07-16 |
| 1053739482 | Brian Wasserman | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2014-04-02 |
| 1578981239 | Kolawole Isaiah Adediran | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805 | 2014-03-31 |
| 1609134782 | Michalene Marie Stevermer | Psychiatry & Neurology | 220 N 6th Ave E, Duluth, MN 55805-1952 | 2012-04-26 |
| 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.