DR. LARRY STEVEN SIDAWAY (DO) – Cardiovascular Disease Physician, NPI 1841245743

DR. LARRY STEVEN SIDAWAY (DO) is a healthcare provider. based in Duluth, Minnesota. specializing in Cardiovascular Disease Physician. They hold the professional credentials DO. They hold a License No. 6614 (ND). The NPI Number for DR. LARRY STEVEN SIDAWAY (DO) is 1841245743

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY STEVEN SIDAWAY (DO)
NPI
1841245743
Phone
(218) 786-1183
Address
400 EAST THIRD STREET
Enumeration Date
23 May 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
6052245901
Graduation Year
1980 (46 years ago)
PAC ID
1456368588
Group Practice PAC ID
0143134965
Professional Enrollment ID
I20101123001225
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LARRY STEVEN SIDAWAY (DO)

  • 400 EAST THIRD STREET

    ESSENTIA HEALTH DULUTH CLINIC MCL2CRED

    DULUTH, MN 558051951

    Phone: (218) 786-1183

    Type: Mailing

  • 32nd Avenue, River Drive, Fargo, Cass County, North Dakota, 58109, United States

    ESSENTIA HEALTH 32ND AVENUE CLINIC

    FARGO, ND 581036132

    Phone: (701) 364-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143134965View full group profile
NameSpecialtyState
Internal MedicineSD
Physical Medicine And Rehabilitation, Osteopathic Manipulative Medicine, Pain Management, Interventional RadiologySD
Family PracticeAZ
-SD
Physician AssistantSD
Nephrology, Internal MedicinePA
Nurse PractitionerSD
Nurse PractitionerSD
Diagnostic RadiologySD
Orthopedic SurgeryVA

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Frequently asked questions

What federal number belongs to DR. LARRY STEVEN SIDAWAY (DO)?
The federal identifier for DR. LARRY STEVEN SIDAWAY (DO) is NPI 1841245743.
Is DR. LARRY STEVEN SIDAWAY (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. LARRY STEVEN SIDAWAY (DO) treat or focus on?
Patients typically see DR. LARRY STEVEN SIDAWAY (DO) under the specialty Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. LARRY STEVEN SIDAWAY (DO)?
We surface Duluth, Minnesota for DR. LARRY STEVEN SIDAWAY (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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