DAVID RIDEOUT (NPI# 1467404632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467404632 |
| Entity Type | Individual |
| Full Name | DAVID RIDEOUT |
| Credential | MD |
| Practice Address |
400 East 3rd Street Duluth MN 55805 |
| Practice Telephone | 2187868364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
36567 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0492470 | 05 | |
| IA | WELLMARK BCBS | 11430 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396810206 | David Austin Rideout | Emergency Medicine | 60 Washington St Ste 403, Salem, MA 01970-3517 | 2006-11-24 |
| 1760580054 | David T Rideout | Surgery | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 | 2006-09-20 |
| Street Address |
400 EAST 3RD STREET |
| City | DULUTH |
| State | MN |
| Zip Code | 55805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508414 | Catherine Jean Miller | Nurse Practitioner | 400 East 3rd Street, Duluth, MN 55805 | 2005-06-20 |
| 1982854782 | Margaret Jean Hoberg | Nurse Practitioner | 400 East 3rd Street, Smdc Medical Center-duluth Clinic, Duluth, MN 55805 | 2008-09-29 |
| 1104082171 | Obioma J. Igboko | Internal Medicine | 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2008-07-30 |
| 1720261779 | Jay Michael Shoaps | Surgery | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-12-13 |
| 1306026778 | Justin David Hill | Radiology | 400 East 3rd Street, Duluth Clinic, Duluth, MN 55805 | 2007-11-13 |
| 1619169646 | Kristopher H Olson | Anesthesiology | 400 East 3rd Street, Duluth, MN 55805 | 2007-08-14 |
| 1548450018 | Nicole Susanne Seacotte | Obstetrics & Gynecology | 400 East 3rd Street, Essentia Health Duluth Clinic, Duluth, MN 55805 | 2007-07-30 |
| 1174727457 | Naeem A Chaudhry | Pediatrics | 400 East 3rd Street, Duluth, MN 55805 | 2007-06-12 |
| 1831392901 | Alexander R Santos | Pediatrics | 400 East 3rd Street, Duluth, MN 55805 | 2007-06-07 |
| 1730398959 | Ziad Alaani | Psychiatry & Neurology | 400 East 3rd Street, Duluth, MN 55805 | 2007-05-22 |
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| 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 | 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 |
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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.