MONUMENT HEALTH NETWORK, INC. (NPI# 1003295924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003295924 |
| Entity Type | Organization |
| Organization Name | MONUMENT HEALTH NETWORK, INC. |
| Other Organization Name | MONUMENT HEALTH DERMATOLOGY |
| Practice Address |
550 E Colorado Blvd Spearfish SD 57783-2776 |
| Mailing Address |
Po Box 860013 Minneapolis MN 55486-0013 |
| Practice Telephone | 6057178860 |
| Practice Fax Number | 6057178862 |
| Mailing Telephone | 6057178860 |
| Mailing Fax Number | 6057557884 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | THOMAS WORSLEY (PRESIDENT SPEARFISH HOSPITAL) |
| Authorized Official Telephone | 6056444091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Monument Health Dermatology | Doing Business As Name - Organization |
| Regional Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| 1770502460 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Avenue, Sturgis, SD 57785-2358 | 2006-07-19 |
| 1174569347 | Monument Health Network, Inc. | Clinic/Center | 1440 N Main Street, Spearfish, SD 57783-1505 | 2006-06-22 |
| 1174590806 | Monument Health Network, Inc. | Ambulance | 61 Charles St, Deadwood, SD 57732-1303 | 2006-03-01 |
| 1083681712 | Monument Health Network, Inc. | General Acute Care Hospital | 2140 Junction Ave, Sturgis, SD 57785-2079 | 2006-03-01 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1760998983 | Monument Health Network, Inc. | General Acute Care Hospital | 2140 Junction Ave, Sturgis, SD 57785-2079 | 2017-12-26 |
| 1841706686 | Monument Health Network, Inc. | Clinic/Center | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2017-12-15 |
| 1588185268 | Monument Health Network, Inc. | Clinic/Center | 1100 Highway 71 S Ste 101, Hot Springs, SD 57747-8801 | 2017-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MONUMENT HEALTH NETWORK, INC | 353 Fairmont Blvd, Rapid City, SD 57701-7375 |
| Street Address |
550 E COLORADO BLVD |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902834914 | Wayne Julius Anderson | Family Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2006-06-29 |
| 1134577448 | Gregory Larson | Physician Assistant | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2016-05-26 |
| 1477932390 | Monument Health Network, Inc. | Dermatology | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2015-05-26 |
| 1891911632 | Occupational Health Network, Inc. | Preventive Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2007-04-18 |
| 1275669566 | Spearfish Health Center, PC | Family Medicine | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972790160 | Christopher Gasbarre | Dermatology | 550 East Colorado Blvd, Spearfish, SD 57783-2776 | 2007-10-02 |
| 1477932390 | Monument Health Network, Inc. | Dermatology | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720441496 | Kathleen Engeln | Dermatology | 105 S State St # 202, Aberdeen, SD 57401-4501 | 2016-03-31 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1124210828 | Linda Jo Fromm | Dermatology | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2007-08-16 |
| 1992996771 | Valerie Flynn | Dermatology | 6701 S. Minnesota Ave, Sioux Falls, SD 57108-2591 | 2007-08-06 |
| 1558373845 | Rapid City Medical Center LLP | Dermatology | 130 N 15th St, Hot Springs, SD 57747-1316 | 2006-08-13 |
| 1215981907 | Ian Andrew Whitcroft | Dermatology | 200 E Highland Blvd, Watertown, SD 57201 | 2006-05-19 |
| 1346216074 | Avera Mckennan | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| 1669448387 | Dennis D Knutson | Dermatology | 116 W. 69th St., Ste. 100, Sioux Falls, SD 57108 | 2006-02-23 |
| 1235103060 | Marc E Boddicker | Dermatology | 710 Saint Anne St, Rapid City, SD 57701-4670 | 2006-02-16 |
| 1467426387 | Jonathan Dean Medeck | Dermatology | 710 Saint Anne Street, Rapid City, SD 57701-4670 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.