MONUMENT HEALTH NETWORK, INC. (NPI# 1104205020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104205020 |
| Entity Type | Organization |
| Organization Name | MONUMENT HEALTH NETWORK, INC. |
| Other Organization Name | MONUMENT HEALTH ORTHOPEDICS AND SPORTS MEDICINE |
| Practice Address |
2479 E Colorado Blvd Spearfish SD 57783-3204 |
| Mailing Address |
Po Box 860013 Minneapolis MN 55486-0013 |
| Practice Telephone | 6056444460 |
| Practice Fax Number | 6056444371 |
| Mailing Telephone | 6056444460 |
| Mailing Fax Number | 6056444461 |
| 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 | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Monument Health Orthopedics and Sports Medicine | Doing Business As Name - Organization |
| Regional Orthopedics | 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 |
2479 E COLORADO BLVD |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403962 | Mark T. Buchman | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2005-10-31 |
| 1639628381 | James Jeffery | Nurse Practitioner | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2016-09-22 |
| 1811375496 | Monument Health Network, Inc. | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2015-05-14 |
| 1962716761 | Ray Byron Jensen | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2010-08-04 |
| 1518292101 | Regional Health Physicians Inc | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2009-10-15 |
| 1780812644 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2009-06-30 |
| 1598952822 | Wesley W Broeder | Physician Assistant | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2007-10-01 |
| 1205029683 | Regional Health Physicians Inc | Clinic/Center | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2007-08-20 |
| 1609071562 | Kipp A. Gould | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783 | 2007-06-19 |
| 1366489403 | Mark Stephen Heine | Physician Assistant | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2006-05-31 |
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| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811375496 | Monument Health Network, Inc. | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2015-05-14 |
| 1962716761 | Ray Byron Jensen | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2010-08-04 |
| 1518292101 | Regional Health Physicians Inc | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2009-10-15 |
| 1609071562 | Kipp A. Gould | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783 | 2007-06-19 |
| 1609849579 | Richard M Little | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325375 | Osd Care of Sd, LLC | Orthopaedic Surgery | 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 | 2019-06-14 |
| 1982821898 | Michael Coale Devish | Orthopaedic Surgery | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 | 2007-04-20 |
| 1861615155 | Patrick Mark O'brien | Orthopaedic Surgery | 911 E 20th St Ste 300, Sioux Falls, SD 57105-1045 | 2007-04-11 |
| 1538234992 | Ray Lyon Foster | Orthopaedic Surgery | 13815 Battle Creek Road, Hermosa, SD 57744-0019 | 2006-11-21 |
| 1629188289 | Marcia K Nelsen | Orthopaedic Surgery | 45125 291st St, Viborg, SD 57070-5300 | 2006-08-30 |
| 1144232042 | Travis Richard Liddell | Orthopaedic Surgery | 2908 E. 26th St., Sioux Falls, SD 57103-4034 | 2006-08-12 |
| 1679524805 | Thomas A Ambrose II | Orthopaedic Surgery | 911 E. 20th St., Ste. 300, Sioux Falls, SD 57105-1045 | 2006-05-12 |
| 1457310229 | Douglas D Neilson | Orthopaedic Surgery | 2007 Locust St, Yankton, SD 57078-2030 | 2006-03-21 |
| 1437123320 | Erik Douglas Peterson | Orthopaedic Surgery | 810 E 232rd St, Sioux Falls, SD 57105 | 2006-02-15 |
| 1801875562 | Lew W Papendick | Orthopaedic Surgery | 7220 Mount Rushmore Rd, Rapid City, SD 57702 | 2006-01-11 |
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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.