| Duluth Family Medicine Clinic | |
|
330 N 8th Ave E Duluth MN 55805-2024 | |
| (218) 723-1112 | |
| (218) 529-9120 |
| Full Name | Duluth Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 330 N 8th Ave E, Duluth, Minnesota |
| Authorized Official Name and Position | Shailendra Prasad (BOARD CHAIR) |
| Authorized Official Contact | 6126247629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duluth Family Medicine Clinic 330 N 8th Ave E Duluth MN 55805-2024 Ph: (218) 723-1112 | Duluth Family Medicine Clinic 330 N 8th Ave E Duluth MN 55805-2024 Ph: (218) 723-1112 |
| NPI Number | 1972585867 |
|---|---|
| Provider Enumeration Date | 11/16/2005 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 4385545953 |
|---|---|
| Medicare Enrollment ID | O20040116000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972585867 | NPI | - | NPPES |
| 32674900 | Medicaid | WI | |
| 647010600 | Medicaid | MN | |
| 69226FA | Other | MN | BCBSMN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Randy J Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083652275 PECOS PAC ID: 3577468719 Enrollment ID: I20031202000089 |
| Provider Name | Brian A Capps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629028857 PECOS PAC ID: 0749180628 Enrollment ID: I20040109000129 |
| Provider Name | Ann M Doberstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699765206 PECOS PAC ID: 2961490644 Enrollment ID: I20040503000612 |
| Provider Name | David A Hutchinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801886015 PECOS PAC ID: 1658283932 Enrollment ID: I20040503000663 |
| Provider Name | Julie Pazdernik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104866847 PECOS PAC ID: 2769467786 Enrollment ID: I20040708000508 |
| Provider Name | Kim B Kruger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982694220 PECOS PAC ID: 8921086794 Enrollment ID: I20040708001116 |
| Provider Name | Jason T Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386662542 PECOS PAC ID: 3274500665 Enrollment ID: I20040915000131 |
| Provider Name | Adam Charles Swank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882594 PECOS PAC ID: 8426025701 Enrollment ID: I20040915000876 |
| Provider Name | John Edward Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013985142 PECOS PAC ID: 4688635709 Enrollment ID: I20041022000071 |
| Provider Name | Joseph A Corser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235213075 PECOS PAC ID: 8729044888 Enrollment ID: I20041209000744 |
| Provider Name | Lisa S Prusak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659397420 PECOS PAC ID: 9638110224 Enrollment ID: I20050513000086 |
| Provider Name | Jennifer Nelson Albee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588787287 PECOS PAC ID: 9931135589 Enrollment ID: I20050714000568 |
| Provider Name | Lauren E Giammar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760449763 PECOS PAC ID: 4082641584 Enrollment ID: I20050726000483 |
| Provider Name | Thomas James Heinitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629022397 PECOS PAC ID: 7416962923 Enrollment ID: I20060220000297 |
| Provider Name | Shawn P Mcmahon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871528646 PECOS PAC ID: 4789586439 Enrollment ID: I20060220000338 |
| Provider Name | Charles S Winjum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477583086 PECOS PAC ID: 9739197757 Enrollment ID: I20060331000520 |
| Provider Name | Paul Andrew Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275557985 PECOS PAC ID: 7416950514 Enrollment ID: I20060810000118 |
| Provider Name | Erik Joseph Sather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518971118 PECOS PAC ID: 8426051459 Enrollment ID: I20060814000100 |
| Provider Name | Donald Bruce Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487622460 PECOS PAC ID: 6002910502 Enrollment ID: I20070322000214 |
| Provider Name | Jessica L Schilling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720121486 PECOS PAC ID: 6002912854 Enrollment ID: I20070510000586 |
| Provider Name | Meghan M Kutz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518189463 PECOS PAC ID: 3173618501 Enrollment ID: I20071001000471 |
| Provider Name | Craig L Gilbertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669451449 PECOS PAC ID: 8325942493 Enrollment ID: I20080228000356 |
| Provider Name | Nathan D Laposky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790952612 PECOS PAC ID: 5890831150 Enrollment ID: I20090930000493 |
| Provider Name | Matthew J Horning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023285947 PECOS PAC ID: 7719023910 Enrollment ID: I20091001000096 |
| Provider Name | Addie C Vittorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225205149 PECOS PAC ID: 2466485875 Enrollment ID: I20091001000162 |
| Provider Name | Daniel G Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922059328 PECOS PAC ID: 2062554892 Enrollment ID: I20100116000319 |
| Provider Name | David H Hyjek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982778064 PECOS PAC ID: 7214079086 Enrollment ID: I20100118000203 |
| Provider Name | Stephen R Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972531291 PECOS PAC ID: 2264574235 Enrollment ID: I20100129000028 |
| Provider Name | Byron David Kion Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609805456 PECOS PAC ID: 3274660352 Enrollment ID: I20100421000522 |
| Provider Name | Sandra L Stover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346218971 PECOS PAC ID: 3779616594 Enrollment ID: I20100730000578 |
| Provider Name | Timothy Dwight Zager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578595930 PECOS PAC ID: 4183723539 Enrollment ID: I20100910000806 |
| Provider Name | Kristin Jo Lusian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770717795 PECOS PAC ID: 0840315966 Enrollment ID: I20100914000047 |
| Provider Name | Jared E Lund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922233261 PECOS PAC ID: 1557486677 Enrollment ID: I20100914000065 |
| Provider Name | Darcy S Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811122153 PECOS PAC ID: 9032234166 Enrollment ID: I20100914000156 |
| Provider Name | Paula Hedin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114125317 PECOS PAC ID: 3173648078 Enrollment ID: I20100915001138 |
| Provider Name | Mary Margaret Braaten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861568024 PECOS PAC ID: 0345138533 Enrollment ID: I20100929000678 |
| Provider Name | Emily Christine Onello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452359 PECOS PAC ID: 4688615495 Enrollment ID: I20100929001496 |
| Provider Name | Heather Rae Danckwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699092130 PECOS PAC ID: 0648442335 Enrollment ID: I20110930000026 |
| Provider Name | Maggie B Neudecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154647071 PECOS PAC ID: 6901078690 Enrollment ID: I20110930000046 |
| Provider Name | Nicholas Vidor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063704914 PECOS PAC ID: 7719133982 Enrollment ID: I20120804000088 |
| Provider Name | Laura A Hase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992097844 PECOS PAC ID: 7719133883 Enrollment ID: I20120804000099 |
| Provider Name | Matthew M Hansmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396036893 PECOS PAC ID: 0446406516 Enrollment ID: I20120804000105 |
| Provider Name | Matthew Anders Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801187315 PECOS PAC ID: 5092962522 Enrollment ID: I20120905000669 |
| Provider Name | Shanna Rachelle Vidor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215229729 PECOS PAC ID: 9830349380 Enrollment ID: I20121018000799 |
| Provider Name | Jennifer L Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023043908 PECOS PAC ID: 4183658024 Enrollment ID: I20130221000186 |
| Provider Name | Eric Paul Scrivner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073802047 PECOS PAC ID: 3375798960 Enrollment ID: I20140717000365 |
| Provider Name | Ryan Jon Gaalswyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467772707 PECOS PAC ID: 5890939235 Enrollment ID: I20140728000784 |
| Provider Name | Anders K Osthus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043654643 PECOS PAC ID: 7416269642 Enrollment ID: I20150701000790 |
| Provider Name | Robert Anthony Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205905452 PECOS PAC ID: 6901891928 Enrollment ID: I20160511002588 |
| Provider Name | Jesse Coenen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376832345 PECOS PAC ID: 4082839063 Enrollment ID: I20160616001778 |
| Provider Name | Kelsey Leigh Redland-kladivo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861836678 PECOS PAC ID: 1153625462 Enrollment ID: I20160701000834 |
| Provider Name | Ashley R Wilke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508201930 PECOS PAC ID: 1658675285 Enrollment ID: I20160812002318 |
| Provider Name | Anthony K Hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467898718 PECOS PAC ID: 9032413356 Enrollment ID: I20161117000643 |
| Provider Name | Cristina Castillo-nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922495456 PECOS PAC ID: 8628372430 Enrollment ID: I20170726000076 |
| Provider Name | Christopher Stephen Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220466 PECOS PAC ID: 4284917766 Enrollment ID: I20170815002694 |
| Provider Name | Ethan Braden Morrical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376954917 PECOS PAC ID: 6204115306 Enrollment ID: I20171002003717 |
| Provider Name | Elizabeth R Kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760854061 PECOS PAC ID: 1850656869 Enrollment ID: I20180522002399 |
| Provider Name | Eric T Hanhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245688878 PECOS PAC ID: 9032401526 Enrollment ID: I20180718003193 |
| Provider Name | Leo Bay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659752285 PECOS PAC ID: 8325340789 Enrollment ID: I20181008001804 |
| Provider Name | Elizabeth A Feist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730536590 PECOS PAC ID: 2668764705 Enrollment ID: I20181030001038 |
| Provider Name | Kathryn Lee Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952857385 PECOS PAC ID: 4385970037 Enrollment ID: I20190801002761 |
| Provider Name | Caryn Elizabeth Gerber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437506292 PECOS PAC ID: 7810281193 Enrollment ID: I20190913001688 |
| Provider Name | Jay Joseph Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891228094 PECOS PAC ID: 7810319340 Enrollment ID: I20200629003513 |
| Provider Name | Alexandra Josephine White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124548979 PECOS PAC ID: 8224300793 Enrollment ID: I20200730003725 |
| Provider Name | Amber Nielsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356871693 PECOS PAC ID: 9537438148 Enrollment ID: I20201005002787 |
| Provider Name | Khloe Chao Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457845331 PECOS PAC ID: 9032519418 Enrollment ID: I20210608000573 |
| Provider Name | Christopher Douglas Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437612173 PECOS PAC ID: 2365876216 Enrollment ID: I20210609003549 |
| Provider Name | Stephen Jon Palmquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598228173 PECOS PAC ID: 3678907573 Enrollment ID: I20210629002688 |
| Provider Name | Amanda Lee Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083105225 PECOS PAC ID: 0648529974 Enrollment ID: I20211027001871 |
| Provider Name | Courtney Jo Donahoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629698915 PECOS PAC ID: 4486076247 Enrollment ID: I20220708001031 |
| Provider Name | Marissa Ann Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992387617 PECOS PAC ID: 3274936174 Enrollment ID: I20220826001918 |
| Provider Name | Bailey Ann Kaira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467035543 PECOS PAC ID: 2365845138 Enrollment ID: I20220826002772 |
| Provider Name | Payton Emilie Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073194379 PECOS PAC ID: 0749684579 Enrollment ID: I20220907002382 |
| Provider Name | Kyle Theodore Bakken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285251835 PECOS PAC ID: 6305249434 Enrollment ID: I20220915003073 |
| Provider Name | Jamie Lee Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467034256 PECOS PAC ID: 1850795832 Enrollment ID: I20220926001510 |
| Provider Name | Emily Katherine Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851979496 PECOS PAC ID: 9931589397 Enrollment ID: I20220926001615 |
| Provider Name | Lindsay Nicole Ryan Haugen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518428275 PECOS PAC ID: 3971979006 Enrollment ID: I20221014001483 |
| Provider Name | Bisola Sarah Omoba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457921843 PECOS PAC ID: 3072916014 Enrollment ID: I20221014002055 |
| Provider Name | Ethan Edward Burlingame |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457926842 PECOS PAC ID: 8426451444 Enrollment ID: I20221024000550 |
| Provider Name | Lee N Hosler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760944508 PECOS PAC ID: 1557785177 Enrollment ID: I20230724000054 |
| Provider Name | Phebe L Alley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295355279 PECOS PAC ID: 9234552738 Enrollment ID: I20230908003415 |
| Provider Name | Andrea Karin Kratzke Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184253049 PECOS PAC ID: 3274955018 Enrollment ID: I20240208000226 |
Lake Superior Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Grand Ave Ste 1000, Duluth, MN 55807 Phone: 218-336-3520 Fax: 218-624-6097 | |
The Well - Duluth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4316 Rice Lake Rd, Duluth, MN 55811 Phone: 952-205-1252 | |
Aspirus St Lukes Clinic Duluth Grand Ave Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6800 | |
Aspirus St Lukes Qcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 W Central Entrance, Duluth, MN 55811 Phone: 218-249-4987 | |
St. Luke's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5232 | |
Arbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E 1st St Ste 105, Duluth, MN 55805 Phone: 218-722-1122 Fax: 218-722-0600 | |
Mission Creek Transitional Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Marshall St, Duluth, MN 55803 Phone: 218-340-8674 |