WESLEY L SUFFICOOL


Address: 904 Quincy St, Suite 2, Rapid City, SD 57701-2608
Phone: 6057915553

WESLEY L SUFFICOOL (NPI# 1043309891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043309891
Entity Type Individual
Full Name WESLEY L SUFFICOOL
Credential DO
Practice Address 904 Quincy St
Suite 2
Rapid City
SD 57701-2608
Practice Telephone 6057915553
Practice Fax Number 6057915644
Mailing Telephone 6057915553
Mailing Fax Number 6057915644
Enumeration Date 2006-10-12
Last Update Date 2015-05-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 4023 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD RR MEDICARE P00416084 01

Office Location

Street Address 904 QUINCY ST
SUITE 2
City RAPID CITY
State SD
Zip Code 57701-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124410584 Surgical Solutions Professional Limited Liability Company Surgery 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 2015-02-23
1497161681 Abigail Nicole Vogel Nurse Practitioner 904 Quincy St, Rapid City, SD 57701-2608 2014-07-08
1275663213 Black Hills Podiatry Podiatrist 904 Quincy St, Rapid City, SD 57701-2608 2007-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568733798 Patrick Malachy Mcguigan Surgery 4102 Carriage Hills Drive, Rapid City, SD 57702-6868 2012-01-19
1184852782 James H Oury Md Medical Corporation Surgery 607 1/2 Mount Rushmore Rd Ste 112, Rapid City, SD 57701-2782 2009-06-23
1265669956 Tiffany Ann Frederickson Surgery 8412 Kitt Peak Rd, Rapid City, SD 57702-9512 2009-06-19
1477544930 Shannon Alexandria Williams Surgery 22805 5th St, Rapid City, SD 57701 2005-11-03
1417304924 Black Hills Surgical Hospital, LLP Surgery 1868 Lombardy Dr, Rapid City, SD 57703-4130 2016-05-16
1124410584 Surgical Solutions Professional Limited Liability Company Surgery 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 2015-02-23
1639478290 Irony Cuervo Del Norte Sade Surgery 2805 5th St, Rapid City, SD 57701-6003 2011-03-22
1619276334 Tyler Bergstrom Surgery 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 2011-03-21
1134448129 Matthew Julian Wideroff Surgery 2805 5th St, Rapid City, SD 57701 2010-05-31
1295962033 Health Concepts Wellness Care LLC Surgery 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 2009-06-19
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Competitor

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City RAPID CITY
Zip Code 57701

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Dataset Information

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.

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