ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1811941511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811941511 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S INFECTIOUS DISEASE ASSOCIATES |
| Practice Address |
920 E 1st St Ste. 102 Duluth MN 55805-2201 |
| Practice Telephone | 2182497990 |
| Practice Fax Number | 2182497996 |
| Mailing Telephone | 2182497990 |
| Mailing Fax Number | 2182497996 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | MR. KEVIN NOKELS (PRESIDENT, CEO) |
| Authorized Official Telephone | 2182495389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Infectious Disease 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 |
| 1528505955 | St. Luke's Hospital of Duluth | Internal Medicine | 1001 E Superior St, Ste. L201, Duluth, MN 55802-2207 | 2017-01-24 |
| 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 |
920 E 1ST ST STE. 102 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857101 | David M Choquette | Otolaryngology | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2005-11-10 |
| 1205440823 | Abigail Frances Bushey | Physician Assistant | 920 E 1st St, Duluth, MN 55805-2201 | 2020-09-01 |
| 1033653209 | St. Luke's Hospital of Duluth | Otolaryngology | 920 E 1st St, Ste. 301, Duluth, MN 55805-2225 | 2016-12-07 |
| 1225428766 | Brittany Lynn Kuehn | Physician Assistant | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2015-02-04 |
| 1699021097 | Chad Matthew Kittleson | Audiologist | 920 E 1st St, Suite 301, Duluth, MN 55805-2201 | 2012-08-03 |
| 1417227661 | Michael Paul Stellmaker | Surgery | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2012-01-05 |
| 1326322017 | Callie Kunze | Physician Assistant | 920 E 1st St, Suite 302, Duluth, MN 55805-2201 | 2011-09-29 |
| 1649567173 | Sara Nilsson Lund | Internal Medicine | 920 E 1st St, Ste. 102, Duluth, MN 55805-2201 | 2011-07-05 |
| 1952691925 | Jennifer E Witt | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-12 |
| 1447540521 | Joshua M Larson | Surgery | 920 E 1st St, Ste. 302, Duluth, MN 55805-2201 | 2011-04-11 |
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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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1649567173 | Sara Nilsson Lund | Internal Medicine | 920 E 1st St, Ste. 102, Duluth, MN 55805-2201 | 2011-07-05 |
| 1093031692 | Amanda Jean Noska | Internal Medicine | 400 E Third Street, Duluth, MN 55805-1951 | 2010-04-08 |
| 1912165572 | Scott Robert Cutro | Internal Medicine | 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2008-05-29 |
| 1598825457 | Rajesh Manohar Prabhu | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-12-11 |
| 1740213586 | Timothy Lloyd Burke | Internal Medicine | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-07-07 |
| 1568412252 | Linda Lee Vanetta | Internal Medicine | 1001 E Superior St, Ste L201, Duluth, MN 55802-2207 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124437710 | Alan Raymond Lifson | Internal Medicine | 1300 S. Second Street, Suite 300, Minneapolis, MN 55454 | 2014-08-07 |
| 1841633898 | Matthew Flinn Pullen | Internal Medicine | 420 Delaware St Se # T, Minneapolis, MN 55455-0341 | 2013-04-09 |
| 1497999593 | Tze-chiang Meng | Internal Medicine | 1115 Trappers Ct, Lino Lakes, MN 55038-9132 | 2009-04-21 |
| 1770766917 | Elliot L Francke | Internal Medicine | 825 Nicollet Mall Ste 701, Minneapolis, MN 55402-2613 | 2007-12-11 |
| 1710031224 | Ayesha Rashid | Internal Medicine | 1973 Sloan Pl Ste 245, Saint Paul, MN 55117-2085 | 2007-01-22 |
| 1306996335 | St. Paul Infectious Disease Associates, Ltd. | Internal Medicine | 1959 Sloan Pl Ste 200, Saint Paul, MN 55117-2073 | 2007-01-11 |
| 1184722464 | Infectious Diseases-minneapolis-ltd | Internal Medicine | 5700 Bottineau Boulevard, Suite 270, Minneapolis, MN 55429-3183 | 2006-09-20 |
| 1770687972 | Joseph R Thurn | Internal Medicine | Minneapolis Va Medical Center, 1 Veterans Drive, Minneapolis, MN 55417 | 2006-09-11 |
| 1629015086 | Dean T Tsukayama | Internal Medicine | 701 Park Ave # B1, Minneapolis, MN 55415-1623 | 2006-06-02 |
| 1023629680 | Daniel Zachary Phillip Friedman | Internal Medicine | 200 First Street Nw, Rochester, MN 55905-0001 | 2020-08-16 |
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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.