FREDRICK E EKBERG M.D. NPI 1336126317

NPI Information

NPI: 1336126317
Provider Name: FREDRICK E EKBERG, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
925 E SUPERIOR ST
SUITE 109
DULUTH, MN
ZIP 55802
Phone: (218) 722-3700
Get Directions

Fredrick E Ekberg, M.D. is a diagnostic radiology radiology in Duluth, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Fredrick E Ekberg, M.D. NPI is 1336126317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

925 E SUPERIOR ST
SUITE 109
DULUTH, MN
ZIP 55802-238
Phone: (218) 722-3700
Fax: (218) 722-8705

The enumeration date for this NPI number is 12/29/2005 and was last updated on 1/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	16940	MINNESOTA	No
2	2085N0700X	Radiology	Neuroradiology	16940	MINNESOTA	No
3	2085N0904X	Radiology	Nuclear Radiology	16940	MINNESOTA	No
4	2085P0229X	Radiology	Pediatric Radiology	16940	MINNESOTA	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	16940	MINNESOTA	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	16940	MINNESOTA	No
7	2085R0202X	Radiology	Diagnostic Radiology	16940	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30725300	MEDICAID	WISCONSIN
2	470000069	MEDICARE PIN	MINNESOTA
3	D79971	MEDICARE UPIN	MINNESOTA
4	470000063	MEDICARE PIN	MINNESOTA
5	HP32349	OTHER		HEALTHPARTNERS
6	041200005	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
7	300004405	MEDICARE PIN	MINNESOTA
8	1601359	OTHER		MEDICA
9	309000813	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
10	375397200	MEDICAID	MINNESOTA
11	470001318	MEDICARE PIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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