ST. LUKE'S HOSPITAL OF DULUTH (NPI# 1982062550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982062550 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S HOSPITAL OF DULUTH |
| Other Organization Name | ST. LUKE'S INTERVENTIONAL PAIN MANAGEMENT |
| Practice Address |
1012 E 2nd St Duluth MN 55805-2200 |
| Practice Telephone | 2182497860 |
| Practice Fax Number | 2182496370 |
| Mailing Telephone | 2182497860 |
| Mailing Fax Number | 2182496370 |
| Enumeration Date | 2016-02-10 |
| 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 | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Interventional Pain Management | 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 |
1012 E 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669253 | Douglas W Kaplan | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2005-06-17 |
| 1952926206 | St. Luke's Hospital of Duluth | Durable Medical Equipment & Medical Supplies | 1012 E 2nd St, Duluth, MN 55805-2200 | 2020-06-12 |
| 1942777529 | Cody Thomas Lemay | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-10-31 |
| 1619453032 | Katrina Jean Hough | Specialist/Technologist | 1012 E 2nd St, Duluth, MN 55805-2200 | 2018-07-18 |
| 1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
| 1437509874 | Leslie Adrian | Emergency Medicine | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-06-16 |
| 1811343973 | Carley Jean Udland | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2016-05-09 |
| 1841651437 | Ashley Marie Chesney | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805-2200 | 2016-03-10 |
| 1073907291 | Jordan Blessing | Pediatrics | 1012 E 2nd St, Duluth, MN 55805 | 2015-03-25 |
| 1679961551 | St. Luke's Hospital of Duluth | Psychiatry & Neurology | 1012 E 2nd St, Duluth, MN 55805-2200 | 2014-12-31 |
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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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265788459 | Minnesota Spine Associates | Pain Medicine | 333 Washington Ave N Ste 300, Minneapolis, MN 55401-1353 | 2012-07-25 |
| 1730472218 | Twin Cities Pain Management, Pllc | Pain Medicine | 4444 W 76th St Ste 500, Edina, MN 55435-5177 | 2011-05-17 |
| 1528350048 | Lon Lutz,md Pa | Pain Medicine | 548 Foxwood Ln, Mendota Hts, MN 55118-2808 | 2011-05-03 |
| 1659506996 | Andrew Lee Schakel | Pain Medicine | 401 Phalen Blvd-ms 41104c, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2009-05-15 |
| 1477569606 | Thomas Christopher Kowalkowski | Pain Medicine | 2301 Connecticut Avenue South, Sartell, MN 56377-2474 | 2006-07-31 |
| 1275560476 | Lee Michael Espeland | Pain Medicine | 1700 University Ave, St Paul, MN 55104 | 2006-06-26 |
| 1679513923 | Samir M Elghor | Pain Medicine | 166 19th St South, #101, Sartell, MN 56377-2154 | 2006-06-07 |
| 1952352221 | Lon Lutz | Pain Medicine | 7200 Hudson Blvd N, Ste 135, Oakdale, MN 55128-7055 | 2006-05-12 |
| 1265051627 | Saeger Spine and Pain Clinics Pa | Pain Medicine | 7450 France Ave S Ste 240, Edina, MN 55435-4792 | 2020-04-15 |
| 1801186614 | Nima M Adimi | Pain Medicine | 111 Hundertmark Rd Ste 440, Chaska, MN 55318-1460 | 2011-04-13 |
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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.