MOSTAFA ABDUL-RAHMAN FARACHE (NPI# 1366646879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366646879 |
| Entity Type | Individual |
| Full Name | MOSTAFA ABDUL-RAHMAN FARACHE |
| Credential | MD |
| Practice Address |
400 East Third Street Duluth Clinic Duluth MN 55805 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50637 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
400 EAST THIRD STREET DULUTH CLINIC |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518944164 | Susan E. Romanik | Family Medicine | 400 East Third Street, Duluth, MN 55805 | 2005-12-26 |
| 1902366396 | William Carson Markes | Physician Assistant | 400 East Third Street, Duluth, MN 55805-1951 | 2019-03-21 |
| 1922517093 | Meghan Eileen Rochefort | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2017-09-21 |
| 1982140299 | Erin Jane Van Hon | Dietitian, Registered | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2017-01-10 |
| 1770035933 | Jessica Ann Mcdonnell | Nurse Anesthetist, Certified Registered | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-11-03 |
| 1760932487 | Jacob Ryan Swette | Acupuncturist | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-10-05 |
| 1316494891 | Mallorie Marie Van Winkle | Physical Therapist | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-09-01 |
| 1194272781 | Rebecca Leigh Wachsmuth | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-09-01 |
| 1710343165 | Kelsey Ann Sellnow | Physician Assistant | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-01-14 |
| 1205241478 | Natalia De Albuquerque Rocha | Internal Medicine | 400 East Third Street, Duluth, MN 55805-1951 | 2014-06-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497905913 | Dong Wang | Psychiatry & Neurology | 3790 Pleasant Hill Rd Ste 250, Duluth, GA 30096-5150 | 2008-09-20 |
| 1174718027 | Roberta Ruth Hallquist | Psychiatry & Neurology | 2812 E Superior St, Duluth, MN 55812-2345 | 2007-09-12 |
| 1760528418 | Amber Irene Erickson | Psychiatry & Neurology | 400 E. 3rd St, Smdc Medical Center - Duluth Clinic, Duluth, MN 55805 | 2007-01-29 |
| 1912903485 | Philip R Kennedy | Psychiatry & Neurology | 3400 Mcclure Bridge Rd, Suite D401, Duluth, GA 30096-6675 | 2005-06-21 |
| 1588669253 | Douglas W Kaplan | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2005-06-17 |
| 1518346188 | Jacob Andrew Hvidston | Psychiatry & Neurology | 400 E 3rd St, Duluth, MN 55805-1951 | 2015-05-28 |
| 1679961551 | St. Luke's Hospital of Duluth | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2014-12-31 |
| 1922417633 | Georgia Neurodiagnostic & Treatment Center LLC. | Psychiatry & Neurology | 3790 Pleasant Hill Rd Ste 250, Duluth, GA 30096-5150 | 2014-08-06 |
| 1013203033 | Chena Margaret-filizetti Beauduy | Psychiatry & Neurology | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2011-06-28 |
| 1548572647 | Aboubakar Sharaf | Psychiatry & Neurology | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2010-07-06 |
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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.