David Allen Arzouman, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

53532 Issued in MN

Practice address

400 East 3Rd Street
SMDC Medical Center-Duluth Clinic
Duluth, MN 55805

Phone

(218) 786-3900

Fax

(715) 552-8091

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Diagnostic Pathology Associates PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1326222696
  NPD (past)
• Carondelet Specialist Group, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tucson, AZ
  • NPI 1891978516

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1972505667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST 3RD STREET",
            "address_2": "SMDC MEDICAL CENTER-DULUTH CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-3900",
            "fax_number": "715-552-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST 3RD STREET",
            "address_2": "SMDC MEDICAL CENTER-DULUTH CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-786-3900",
            "fax_number": "715-552-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARZOUMAN",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "23550",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MN",
            "license": "53532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972505667",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arukah Health Services LLC
• David S Arvold, M.D.
• Judith Goodrich Arvold, MD
• Lisa Anne Arvold, M.D.
• Nils D Arvold, M.D.
• Michael Dean Asbell, MD
• Gregory Scott Ash, D.C.
• Mark Thomas Ash, DDS
• Susan Elizabeth Ash
• Alyssa Jean Ashburn, BCBA, LBA, QSP

• All providers in Duluth, MN
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.