DR. RANDALL WALDNER (NPI# 1114451010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114451010 |
| Entity Type | Individual |
| Full Name | DR. RANDALL WALDNER |
| Credential | M.D. |
| Practice Address |
111 W 10th Ave Redfield SD 57469-1519 |
| Mailing Address |
Po Box 590 Redfield SD 57469-0590 |
| Practice Telephone | 6054721110 |
| Practice Fax Number | 6054720331 |
| Mailing Telephone | 6054720510 |
| Mailing Fax Number | 6054720512 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12172 | SD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 W 1st St, Redfield, SD 574691502 | 6054720510 | 6054720512 |
| Street Address |
111 W 10TH AVE |
| City | REDFIELD |
| State | SD |
| Zip Code | 57469-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548232747 | City of Redfield | General Acute Care Hospital | 111 W 10th Ave, Redfield, SD 57469-1519 | 2006-02-02 |
| 1154939767 | Heather Annie Caton | Pharmacist | 111 W 10th Ave, Redfield, SD 57469-1519 | 2020-07-20 |
| 1730738923 | Alyssa Osborn Howard | Pharmacist | 111 W 10th Ave, Redfield, SD 57469-1519 | 2019-09-10 |
| 1235651134 | Marisa Sue Blackwell | Physical Therapist | 111 W 10th Ave, Redfield, SD 57469-1519 | 2017-07-12 |
| 1760834725 | Kayla Wagner | Physical Therapist | 111 W 10th Ave, Redfield, SD 57469-1519 | 2016-07-01 |
| 1265884217 | Sandra Jungwirth | Physical Therapist | 111 W 10th Ave, Redfield, SD 57469-1519 | 2016-07-01 |
| 1871945824 | Cathy Frericks | Physical Therapist | 111 W 10th Ave, Redfield, SD 57469-1519 | 2016-07-01 |
| 1417148123 | City of Redfield | General Acute Care Hospital | 111 W 10th Ave, Redfield, SD 57469-1519 | 2007-08-07 |
| 1881666444 | City of Redfield | Ambulance | 111 W 10th Ave, Redfield, SD 57469-1519 | 2006-02-07 |
| 1871565853 | City of Redfield | General Acute Care Hospital | 111 W 10th Ave, Redfield, SD 57469-1519 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437302106 | Redfield School District | Early Intervention Provider Agency | 502 E. 2nd St., Redfield, SD 57469 | 2008-10-28 |
| 1154877876 | Lisa Cosato | Speech-Language Pathologist | 502 E 2nd St, Redfield, SD 57469 | 2016-09-01 |
| 1033279484 | David Eugene Peterson | Dentist | 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 | 2006-12-08 |
| 1245869833 | Melissa Gorecki | Pharmacist | 17267 W 3rd St, Redfield, SD 57469-1001 | 2020-04-06 |
| 1548391022 | South Dakota Developmental Center | Intermediate Care Facility, Mentally Retarded | 17267 W 3rd St, Redfield, SD 57469-1001 | 2007-03-08 |
| 1154669125 | Tonja Jean Jungwirth | Counselor | 115 W 7th St, Redfield, SD 57469-1034 | 2013-01-24 |
| 1649424193 | Spink Co. Public Transit & Senior Center | Non-emergency Medical Transport (VAN) | 728 South Main Str., Redfield, SD 57469-1128 | 2008-11-11 |
| 1558553073 | Jayme John Akin | Physical Therapist | 900 E 3rd St, Redfield, SD 57469-1134 | 2007-08-17 |
| 1679650071 | Steven Dale Zaloudek | Dentist | 21 1/2 East 7th Avenue, Redfield, SD 57469-1205 | 2006-11-01 |
| 1861549883 | Dakota Dental Clay Yeoman Dds Prof. LLC | Dentist | 517 N Main St, Redfield, SD 57469-1208 | 2007-01-04 |
| Find all providers in zip 57469 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639102841 | Kristine Kay Wren | Family Medicine | 1010 W 1st St, Redfield, SD 57469-1506 | 2006-07-09 |
| 1427020205 | Matthew Peter Owens | Family Medicine | 1010 W 1st St, Redfield, SD 57469-1506 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343505 | Kaitlyn Mae Fritz | Family Medicine | Wellness Center 103, Brookings, SD 57007-0001 | 2020-10-12 |
| 1447877386 | Black Hills Primary Care PC | Family Medicine | 8075 Stage Stop Rd., Summerset, SD 57718 | 2020-06-26 |
| 1467003251 | Arthur Lampert | Family Medicine | 1770 Tablerock Rd Apt 120, Rapid City, SD 57701-5586 | 2019-09-24 |
| 1851883540 | Modern Day Health Care Prof LLC | Family Medicine | 125 Railroad Ave Se, Aberdeen, SD 57401-4202 | 2018-05-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1568991446 | Callie Pederson | Family Medicine | 28th Medical Group, 2900 Doolitle Drive, Ellsworth Afb, SD 57706-4821 | 2017-06-05 |
| 1144751256 | Maya Itza Koehler | Family Medicine | 534 Oregon Ave Se, Huron, SD 57350-2801 | 2017-03-22 |
| 1578004883 | Sacred Heart Health Services | Family Medicine | 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078-5371 | 2017-03-20 |
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
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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.