Unknown Individual – Anesthesiology Physician, NPI 1700872629
Anesthesiology Physician
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Provider Addresses for Unknown Individual
ESSENTIA HEALTH DULUTH CLINIC
400 EAST THIRD STREET
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
3533, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454291263
Phone: (937) 293-8228
Fax: (937) 293-8229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 22 | 22 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 15 | 15 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $0 |
| 00140 | Anesthesia for other procedure on eye | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MT | |
| - | ND | |
| Physician Assistant | MN | |
| Nurse Practitioner | SD | |
| - | MN | |
| Qualified Audiologist | MN | |
| - | MN | |
| - | MN | |
| P A T H O L O G Y | WV | |
| Family Practice | MN |
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