PAUL R. KAFFAR (NPI# 1053419903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053419903 |
| Entity Type | Individual |
| Full Name | PAUL R. KAFFAR |
| Credential | CNP |
| Practice Address |
6100 S Louise Ave Ste 1120 Sioux Falls SD 57108-6021 |
| Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
| Practice Telephone | 6055041700 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000478 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | MEDICA | 0125073 | 01 |
| SD | DEPT OF LABOR | 370624200 | 01 |
| SD | RR MEDICARE | P00446747 | 01 |
| NE | 46022474335 | 05 | |
| SD | CNP LICENSE | CP000478 | 01 |
| SD | MIDLANDS CHOICE | 251572 | 01 |
| SD | RN LICENSE | R027066 | 01 |
| IA | 0545186 | 05 | |
| SD | ARAZ/ AMERICA'S PPO | 2444134 | 01 |
| SD | BLUE CROSS | 4993678 | 01 |
| SD | DAKOTACARE | 9240659 | 01 |
| MN | CC SYSTEMS/ BLUE PLUS | 500L7KA | 01 |
| MN | PRIMEWEST | 92411422901 | 01 |
| MN | 070107000 | 05 | |
| SD | WPS TRICARE | 57105F018 | 01 |
| SD | PREFERRED ONE | 769201048412 | 01 |
| SD | HEALTHPARTNERS | HP71462 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 S. Cliff Ave, Ste. 400, Sioux Falls, SD 571051023 | 6053225750 | 6053225799 |
| Street Address |
6100 S LOUISE AVE STE 1120 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841265543 | Leonard Mark Gutnik | Internal Medicine | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2006-02-17 |
| 1083108245 | Julie Jefferis-woodis | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2018-06-20 |
| 1477919421 | Elizabeth Lapp | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2016-01-06 |
| 1013322205 | Aaron Burkhardt | Internal Medicine | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2014-06-25 |
| 1295020618 | Neil R Brummond | Internal Medicine | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2011-06-14 |
| 1336434737 | Alissa Jo Brummond | Internal Medicine | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2011-06-14 |
| 1417186768 | Carrie Ann Rise | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2009-07-08 |
| 1134172463 | Jean Marie Lageson | Internal Medicine | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2006-05-18 |
| 1932173622 | Scott Alan Beckstrand | Internal Medicine | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2006-02-17 |
| 1033183736 | Eric M Noyes | Nurse Practitioner | 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108-6021 | 2006-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625854 | Mindy Thompson | Nurse Practitioner | 2501 S Louis Ave, Sioux Falls, SD 57109-4601 | 2020-06-26 |
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1013567627 | Kasandra Wheeler | Nurse Practitioner | 1309 W 17th St Ste 1, Sioux Falls, SD 57104-4663 | 2019-09-16 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1679081350 | Abby Jo Viereck | Nurse Practitioner | 2301 E 60th St N, Sioux Falls, SD 57104-0569 | 2018-01-17 |
| 1356851661 | Alyssa Mae Welbig | Nurse Practitioner | 2315 W 57th St Ste 300, Sioux Falls, SD 57108-5163 | 2017-10-02 |
| 1023565645 | Amanda Glanzer | Nurse Practitioner | 7701 W 65th St, Sioux Falls, SD 57106-8802 | 2016-09-01 |
| 1750737318 | Steven Davis | Nurse Practitioner | 7231 W Chesapeake Ln, Sioux Falls, SD 57106-3842 | 2016-05-12 |
| 1609231943 | Jena Burgess | Nurse Practitioner | 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105-1062 | 2015-12-30 |
| 1093154213 | Jamie Kay Grant | Nurse Practitioner | 5009 S Louise Ave, Sioux Falls, SD 57108-2268 | 2013-06-20 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
Please comment or provide details below to improve the information on PAUL R. KAFFAR.
| 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.