ELISABETH REVOIR (NPI# 1952349169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952349169 |
| Entity Type | Individual |
| Full Name | ELISABETH REVOIR |
| Other Name | ELISABETH HOGENSON |
| Credential | MD |
| Practice Address |
1000 E 1st St Ste Ll Duluth MN 55805-2297 |
| Practice Telephone | 2187225629 |
| Mailing Telephone | 2187225629 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 38650 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 07-00154 | 01 |
| MN | UCARE | 115834 | 01 |
| MN | HEALTH PARTNERS | HP22609 | 01 |
| MN | PREFERRED ONE | 1011800 | 01 |
| MN | BCBSM | 38T68RE | 01 |
| MN | TRIWEST | A009 | 01 |
| WI | MEDICAID | 32262000 | 01 |
| Street Address |
1000 E 1ST ST STE LL |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205497 | Kundel Pediatric Associates, Pa | Pediatrics | 1000 E 1st St, Ste 204, Duluth, MN 55805-2297 | 2005-06-20 |
| 1356989685 | Alanna Norick | Midwife | 1000 E 1st St, Duluth, MN 55805-2297 | 2019-12-17 |
| 1306380571 | St. Luke's Hospital of Duluth | Surgery | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2016-12-07 |
| 1184178006 | Erica Marie Wagner | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2016-08-09 |
| 1114372349 | Tiffany Venne | Specialist/Technologist | 1000 E 1st St, Ste 404, Duluth, MN 55805-2297 | 2016-04-25 |
| 1780093195 | Kayleigh Hursh | Physician Assistant | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2014-08-11 |
| 1134539158 | Kaytlin Elisabeth Richie | Nurse Practitioner | 1000 E 1st St, Ste. Ll, Duluth, MN 55805-2297 | 2014-04-29 |
| 1942647532 | Jacquelyn Ryan Messer | Nurse Practitioner | 1000 E 1st St, Ste. N203, Duluth, MN 55805-2297 | 2013-05-23 |
| 1184970857 | Danielle Lee Morse | Physical Therapist | 1000 E 1st St, Suite 400, Duluth, MN 55805-2297 | 2012-07-31 |
| 1760737811 | David Labore | Physician Assistant | 1000 E 1st St, Ste. 203, Duluth, MN 55805-2297 | 2012-07-16 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1710203500 | Rachel Josephine Paccione | Obstetrics & Gynecology | 3630 Savannah Pl Ste B, Duluth, GA 30096-5028 | 2010-04-19 |
| 1780856740 | Xuan Cao | Obstetrics & Gynecology | 3635 Peachtree Industrial Blvd Ste 150, Duluth, GA 30096-2808 | 2008-03-31 |
| 1932273877 | Simone Whitmore | Obstetrics & Gynecology | 3460 Summit Ridge Pkwy, Suite 101, Duluth, GA 30096-1622 | 2006-11-20 |
| 1316904923 | Thaddeus Ivory Lancaster | Obstetrics & Gynecology | 3855 Pleasant Hill Rd Ste 100, Duluth, GA 30096-8030 | 2006-04-27 |
| 1285628891 | Jacqueline Mache Walters | Obstetrics & Gynecology | 3630 Savannah Pl Ste 100, Duluth, GA 30096-5028 | 2005-09-09 |
| 1114389277 | Karin B. Knutson | Obstetrics & Gynecology | 420 E 1st St, Duluth, MN 55805-1901 | 2016-03-27 |
| 1215311402 | Cha Ob/gyn | Obstetrics & Gynecology | 3855 Pleasant Hill Rd, Suite 270, Duluth, GA 30096-1407 | 2015-07-17 |
| 1568845923 | Amber Ward | Obstetrics & Gynecology | 420 E 1st St, Duluth, MN 55805-1901 | 2015-07-02 |
| 1174910236 | Sarah Clausen | Obstetrics & Gynecology | 1000 E 1st St Ste Ll, Duluth, MN 55805-2297 | 2015-04-16 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on ELISABETH REVOIR.
| 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.