Susan M Goltz (NPI# 1811966500, PAC ID# 4688578750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1811966500 |
PAC ID by PECOS | 4688578750 |
Professional Enrollment ID | I20101102001423 |
Full Name | Susan M Goltz |
Organization Legal Name | ST LUKES HOSPITAL OF DULUTH |
Address |
6351 E Superior St Duluth MN 55804-2545 |
Phone Number | 2182494500 |
Gender | F |
Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 1988 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 7113834839 |
Number of Group Practice Members | 341 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240047 | ST LUKES HOSPITAL |
Address | Phone | Organization |
---|---|---|
1000 E 1st St, Duluth, MN 55805-2297 | ST LUKES HOSPITAL OF DULUTH | |
1012 E 2nd St, Duluth, MN 55805-2200 | ST LUKES HOSPITAL OF DULUTH | |
6351 E Superior St, Duluth, MN 55804-2545 | 2182494500 | ST LUKES HOSPITAL OF DULUTH |
915 E 1st St, Duluth, MN 55805-2107 | 2182495555 | ST LUKES HOSPITAL OF DULUTH |
Organization Legal Name | ST LUKES HOSPITAL OF DULUTH |
Physicians | 314 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elizabeth M Lafrance | Physician Assistant | St Lukes Hospital of Duluth | 1400 Woodland Ave, Duluth, MN 55803-2624 |
Nichole Marie Dorn | Nurse Practitioner | St Lukes Hospital of Duluth | 619 W Central Entrance, Duluth, MN 55811-5448 |
Bari S Hillman | Psychologist, Clinical | St Lukes Hospital of Duluth | 26 E Superior St, Suite 205, Duluth, MN 55802-2196 |
Sally L Bruestle | Physician Assistant | St Lukes Hospital of Duluth | 50 Outer Dr, Silver Bay, MN 55614-1102 |
Pamela B Landsteiner | Dermatology | St Lukes Hospital of Duluth | 920 E 1st St, Suite 201, Duluth, MN 55805-2215 |
Dana R Katchka | Nurse Practitioner | St Lukes Hospital of Duluth | 2201 Lake Shore Dr E, Ashland, WI 54806-2331 |
Tara L Richter | Psychologist, Clinical | St Lukes Hospital of Duluth | 220 N 6th Ave E, Duluth, MN 55805-1952 |
Megan J Hoel | Family Medicine | St Lukes Hospital of Duluth | 109 N 28th St E, Superior, WI 54880-6548 |
Erin R Thielbar | Nurse Practitioner | St Lukes Hospital of Duluth | 8373 Unity Dr, Virginia, MN 55792-4005 |
Elisabeth Jane Gibbons | Family Medicine | St Lukes Hospital of Duluth | 4702 Grand Ave, Duluth, MN 55807-2742 |
Street Address |
6351 E SUPERIOR ST |
City | DULUTH |
State | MN |
Zip | 55804-2545 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher L Baumbach | Family Medicine | St Lukes Hospital of Duluth | 6351 E Superior St, Duluth, MN 55804-2545 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jaclyn M Hughley | Nurse Practitioner | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Livingstone C Igwe | Family Medicine | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Hugh Patrick Renier | Family Practice | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Nicholas Eliah Navarro | Clinical Social Worker | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
Melissa J Janzen | Chiropractic | 4731 E Superior St, Duluth, MN 55804-2339 | |
Rachel Gabrielle Ashford | Clinical Social Worker | 5107 E Superior St, Duluth, MN 55804-2475 |
City | DULUTH |
Zip Code | 55804 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | DULUTH + OBSTETRICS/GYNECOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.