DULUTH SURGICAL SUITES LLC (NPI# 1356988554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356988554 |
Entity Type | Organization |
Organization Name | DULUTH SURGICAL SUITES LLC |
Practice Address |
2118 London Rd Duluth MN 55812-2127 |
Practice Telephone | 2184817812 |
Practice Fax Number | 2184817820 |
Mailing Telephone | 2184817812 |
Mailing Fax Number | 2184817820 |
Enumeration Date | 2019-12-06 |
Last Update Date | 2019-12-06 |
Authorized Official Name | SARAH LYNN SODERHOLM (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 2184817812 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730603622 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2017-08-01 |
Street Address |
2118 LONDON RD |
City | DULUTH |
State | MN |
Zip Code | 55812-2127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730603622 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2017-08-01 |
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 | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730603622 | Duluth Surgical Suites LLC | Clinic/Center | 2118 London Rd, Duluth, MN 55812-2127 | 2017-08-01 |
1811052749 | Gdc Endoscopy Center LLC | Clinic/Center | 2887 Darlington Run, Duluth, GA 30097-4315 | 2006-12-22 |
1023651916 | Lakewalk Surgery Center, Inc. | Clinic/Center | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2019-10-23 |
1669971214 | Moody Surgical Associates, LLC | Clinic/Center | 3540 Duluth Park Ln Ste 290, Duluth, GA 30096 | 2018-02-09 |
1740528934 | Prima Ambulatory Surgical Services | Clinic/Center | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2013-01-22 |
1487793758 | North Atlanta Orthopaedic Surgery Center | Clinic/Center | 10670 Medlock Bridge Rd, Duluth, GA 30097 | 2007-02-05 |
1891730644 | Lakewalk Surgery Center, Inc. | Clinic/Center | 1420 London Rd, Suite 100, Duluth, MN 55805-2433 | 2006-06-17 |
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1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
1215573209 | Hiawatha Surgery Center LLC | Clinic/Center | 2020 E 28th St Ste 100, Minneapolis, MN 55407-1453 | 2019-11-25 |
1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
1942760285 | Altru Health System Ambulatory Surgery Centers LLC | Clinic/Center | 400 S Minnesota St Ste B, Crookston, MN 56716-1808 | 2019-03-22 |
1396229746 | Avera Marshall | Clinic/Center | 1521 Carlson St Ste 200, Marshall, MN 56258-2626 | 2018-09-21 |
1891297925 | Pediatric Center Holdings, LLC | Clinic/Center | 15450 Highway 7 Ste 200, Minnetonka, MN 55345-3522 | 2018-03-05 |
1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
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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.