ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1528505955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528505955 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S NEPHROLOGY ASSOCIATES |
| Practice Address |
1001 E Superior St Ste. L201 Duluth MN 55802-2207 |
| Practice Telephone | 2182497980 |
| Practice Fax Number | 2182497911 |
| Mailing Telephone | 2182497980 |
| Mailing Fax Number | 2182497911 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | KEVIN NOKELS (PRESIDENT, CEO) |
| Authorized Official Telephone | 2182495389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Nephrology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497087126 | St. Luke's Hospital of Duluth | Family Medicine | 6351 E. Superior St., Duluth, MN 55804-2545 | 2010-02-05 |
| 1083668784 | St. Luke's Hospital of Duluth | Surgery | 920 E 1st St Ste 302, Duluth, MN 55805 | 2006-05-19 |
| 1063464154 | St. Luke's Hospital of Duluth | Family Medicine | 8373 Unity Drive, Virginia, MN 55792-4005 | 2006-05-17 |
| 1316999485 | St. Luke's Hospital of Duluth | Family Medicine | 2201 Lake Shore Drive East, Ashland, WI 54806-2331 | 2006-05-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1336774165 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-12 |
| 1275005498 | St. Luke's Hospital of Duluth | Clinic/Center | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2018-12-28 |
| 1205319662 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 930 E 2nd St, Duluth, MN 55805-2104 | 2018-09-12 |
| 1306380571 | St. Luke's Hospital of Duluth | Surgery | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2016-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. LUKE'S HOSPITAL OF DULUTH | 915 E First St, Duluth, MN 55805-2107 |
| Street Address |
1001 E SUPERIOR ST STE. L201 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391716 | Homam Alkaied | Internal Medicine | 1001 E Superior St, Ste. L101, Duluth, MN 55802-2207 | 2005-10-24 |
| 1952912206 | Corrie Hautajarvi | Nurse Practitioner | 1001 E Superior St, Duluth, MN 55802-2207 | 2020-08-11 |
| 1366948853 | Lainee Hoffman | Physician Assistant | 1001 E Superior St, Duluth, MN 55802-2207 | 2018-04-03 |
| 1144775420 | Lindsay Marie Johnson | Nurse Practitioner | 1001 E Superior St, Duluth, Duluth, MN 55802-2207 | 2016-08-17 |
| 1770991937 | Jennifer Lynn Marksteiner | Nurse Practitioner | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2014-07-31 |
| 1245676683 | Shawn Patrick Pritchard | Internal Medicine | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2013-05-13 |
| 1386904092 | Rachel Zaudtke Gordon | Internal Medicine | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2012-05-29 |
| 1518223882 | Luke David Midlo | Internal Medicine | 1001 E Superior St, Ste. L401, Duluth, MN 55802-2207 | 2012-04-11 |
| 1487941993 | Rebekah Beach | Urology | 1001 E Superior St, Suite L201, Duluth, MN 55802-2207 | 2011-07-05 |
| 1659699536 | Anna V Perelshteyn | Internal Medicine | 1001 E Superior St, Ste L101, Duluth, MN 55802-2207 | 2010-05-17 |
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| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154355600 | Narendra K Gupta | Internal Medicine | 10160 Medlock Bridge Road, Duluth, GA 30097 | 2006-07-10 |
| 1477896009 | Anna Gybina | Internal Medicine | 400 E 3rd St, Duluth, MN 55805 | 2013-04-02 |
| 1528208642 | Sreedhar Devathi | Internal Medicine | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2009-03-02 |
| 1891962445 | Erik Mathew Wendland | Internal Medicine | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2008-05-13 |
| 1629287792 | Home Dialysis Duluth Kidney Services | Internal Medicine | 925 E Superior St, Suite 106, Duluth, MN 55802-2238 | 2007-05-22 |
| 1992825814 | Heather Ann Muster | Internal Medicine | 1001 E Superior St Ste L201, Duluth, MN 55802-2207 | 2007-04-02 |
| 1023046570 | Thomas Edward Russ | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-30 |
| 1326074642 | Michael Merle Maddy | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1841652146 | Deepthi Chandra Malepati | Internal Medicine | 717 Delaware Street Se, Mail Code 1932j, Minneapolis, MN 55414 | 2016-03-25 |
| 1538459755 | Maxwell David Leither | Internal Medicine | 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107 | 2011-04-08 |
| 1063650307 | Peter Paul Frohnert | Internal Medicine | 66 9th St E, Apt. 2305, Saint Paul, MN 55101-4700 | 2009-01-24 |
| 1164690475 | Paul Christian Seel | Internal Medicine | 2 Crocus Ln, Saint Paul, MN 55127-6302 | 2008-02-20 |
| 1619023918 | Vishal Sagar | Internal Medicine | 401 Phalen Blvd - Ms 41103c, Healthpartners Specialty Center 401, Saint Paul, MN 55130-5302 | 2007-01-27 |
| 1447343330 | Mark Alan Matson | Internal Medicine | 1000 Westgate Drive, Suite 149, St. Paul, MN 55114-5000 | 2006-10-02 |
| 1205945466 | Areef Ishani | Internal Medicine | 1 Veterans Dr # 111j, Minneapolis, MN 55417-2309 | 2006-08-30 |
| 1568489540 | Francis John Tycast | Internal Medicine | 19545 W Ford Brook Dr, Anoka, MN 55303-9580 | 2006-07-16 |
| 1255305355 | Brett W Nyholm | Internal Medicine | 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 | 2006-02-15 |
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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.