ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1912951609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912951609 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S CARDIOTHORACIC SURGERY ASSOCIATES |
| Practice Address |
920 E 1st St Ste 302 Duluth MN 55805-2225 |
| Practice Telephone | 2182496050 |
| Mailing Telephone | 2182496050 |
| 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 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Cardiothoracic Surgery 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 302 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2225 |
| 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 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609991207 | Kalyan C. Vunnamadala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 1st St Ste 303, Duluth, MN 55805-2225 | 2007-03-20 |
| 1154404598 | Terry Paul Olivas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2006-10-21 |
| 1699726752 | Christopher F. Heck | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2006-05-13 |
| 1972505667 | David Allen Arzouman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 East 3rd Street, Smdc Medical Center-duluth Clinic, Duluth, MN 55805 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174893275 | Albert Mowlem | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1980 County Road B W, Saint Paul, MN 55113-5447 | 2012-01-05 |
| 1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
| 1700048766 | Richard Noel Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 31646 County Road 1, La Crescent, MN 55947-4226 | 2008-06-30 |
| 1750579694 | John R Liddicoat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7601 Northland Dr N, Minneapolis, MN 55428-4500 | 2007-10-04 |
| 1821288929 | Judah A Askew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 400, Minneapolis, MN 55407-1286 | 2007-07-26 |
| 1205977634 | Bassam N. Shukrallah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 E 28th St Ste 400, Minneapolis, MN 55407 | 2007-02-09 |
| 1275549784 | John F Grehan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 N Smith Ave, #100a, St Paul, MN 55102 | 2006-08-01 |
| 1427011352 | Vibhu R Kshettry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 610, Minneapolis, MN 55407-1190 | 2006-04-11 |
| 1205896750 | Timothy J Kroshus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 640 Jackson St - Mc 11503k, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-03-27 |
| 1700485547 | Daisuke Kaneyuki | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. LUKE'S HOSPITAL OF DULUTH.
| 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.