ELISABETH REVOIR MD NPI 1952349169

NPI Information

NPI: 1952349169
Provider Name: ELISABETH REVOIR, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 E 1ST ST
STE LL
DULUTH, MN
ZIP 55805
Phone: (218) 722-5629
Get Directions

Elisabeth Revoir, MD is an obstetrics gynecology in Duluth, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Elisabeth Revoir, MD NPI is 1952349169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 E 1ST ST
STE LL
DULUTH, MN
ZIP 55805-297
Phone: (218) 722-5629

The NPI 1952349169 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 12/4/2020.

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	207V00000X	Obstetrics & Gynecology		38650	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	1011800	OTHER	MINNESOTA	PREFERRED ONE
2	32262000	OTHER	WISCONSIN	MEDICAID
3	38T68RE	OTHER	MINNESOTA	BCBSM
4	847326900	MEDICAID	MINNESOTA
5	A009	OTHER	MINNESOTA	TRIWEST
6	HP22609	OTHER	MINNESOTA	HEALTH PARTNERS
7	160030895	OTHER	MINNESOTA	RAILROAD MEDICARE
8	07-00154	OTHER	MINNESOTA	MEDICA
9	115834	OTHER	MINNESOTA	UCARE

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: 4/28/2024

NPI Synchronization or Removal

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