DIMITRIY YEVGENIVICH YEZHIKOV (NPI# 1598142424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598142424 |
| Entity Type | Individual |
| Full Name | DIMITRIY YEVGENIVICH YEZHIKOV |
| Credential | DO |
| Practice Address |
330 N 8th Ave E Duluth MN 55805-2024 |
| Practice Telephone | 2187231112 |
| Practice Fax Number | 2185299120 |
| Mailing Telephone | 2187231112 |
| Mailing Fax Number | 2185299120 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 60969 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
330 N 8TH AVE E |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299227 | Roger K. Waage | Family Medicine | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2005-10-19 |
| 1770107294 | Jamie L Hammer | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-06-01 |
| 1164045647 | Lucas T Henningsen | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-19 |
| 1851914477 | Jordan R Lindholm | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-19 |
| 1053934679 | Nicholas M Loken | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-19 |
| 1659994275 | Erin K Traxler | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-19 |
| 1558984179 | Owen T Tierney | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-19 |
| 1427671049 | Staci K Loken | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-19 |
| 1982226072 | Joshua Godding | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-05-12 |
| 1629698915 | Courtney Jo Donahoe | Student in an Organized Health Care Education/Training Program | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2020-04-16 |
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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 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821239161 | Andrew George Keenan | Hospitalist | Essentia Health Duluth Clinic, 400 East Third Street, Duluth, MN 55805-1951 | 2009-03-17 |
| 1245390467 | Amy Xiuxiang Jiao Lin | Hospitalist | 3500 Duluth Park Lane, Suite 220, Duluth, GA 30096-3230 | 2006-12-11 |
| 1689200578 | St. Luke's Hospital of Duluth | Hospitalist | 915 E 1st St, Duluth, MN 55805-2193 | 2020-03-23 |
| 1790205540 | Michael M Ritchie | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-06-22 |
| 1932637899 | Mindi Lu Kvaal Anderson | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-05-23 |
| 1417304593 | Joshua G Farley | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2016-05-19 |
| 1518342799 | Rose Kristine De Guzman Tiangco | Hospitalist | 400 E 3rd St, Duluth, MN 55805 | 2015-07-29 |
| 1619309010 | Olubisi Akinseloyin | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2013-08-07 |
| 1134560170 | Prakash Khanal | Hospitalist | 400 E 3rd St, Duluth, MN 55805-1951 | 2013-07-06 |
| 1215955018 | Christin H. Ko | Hospitalist | 6325 W Johns Xing, Emory Johns Creek Hospital - Hospital Medicine Dept, Duluth, GA 30097-1530 | 2006-07-18 |
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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.