DR. JEFFREY ANDERSON (NPI# 1033236930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033236930 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ANDERSON |
| Credential | MD |
| Practice Address |
5410 Sheridan Lake Rd Rapid City SD 57702 |
| Practice Telephone | 6053484141 |
| Practice Fax Number | 6053427880 |
| Mailing Telephone | 6053484141 |
| Mailing Fax Number | 6053427880 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 3977 | SD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Street Address |
5410 SHERIDAN LAKE RD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316174 | Gordon Abernathie | Family Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2005-06-15 |
| 1699331223 | Emily Michelle Geppert | Physician Assistant | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2019-05-20 |
| 1366816589 | Heidi Ann Glood | Nurse Practitioner | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2015-11-26 |
| 1295962033 | Health Concepts Wellness Care LLC | Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2009-06-19 |
| 1487801445 | Kristen Corkle | Nurse Practitioner | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2008-08-21 |
| 1780893370 | Mary C. Snyder, Md, PC | Plastic Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2007-05-21 |
| 1346297009 | Nicole Sears | Family Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2006-05-28 |
| 1487626842 | Paulette Susan Nankivel | Nurse Practitioner | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2006-02-01 |
| 1093785735 | Richard Lee Beasley | Internal Medicine | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033641501 | Michael Paul Frost | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2017-04-03 |
| 1922395656 | Daniel Lee Montgomery | Emergency Medicine | 502 E Monroe St, Rapid City, SD 57701-1400 | 2011-07-01 |
| 1043531023 | Clay Arthur Smith | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701 | 2010-06-14 |
| 1326278136 | Donald Neilson | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2009-07-15 |
| 1801091806 | Johnathon Allen Berry | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2007-06-19 |
| 1609093608 | Brook Matthew Eide | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2007-04-19 |
| 1437286150 | John M Rud | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2007-02-28 |
| 1538259890 | Sandra J Honke | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57709 | 2006-10-14 |
| 1174613434 | Kelly W Manning | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2006-10-14 |
| 1619067972 | Michael Mathews | Emergency Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2006-10-14 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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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.