DR. GARRETT MANFRED WOBST (NPI# 1124376389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124376389 |
Entity Type | Individual |
Full Name | DR. GARRETT MANFRED WOBST |
Credential | DPM |
Practice Address |
701 8th Ave Nw Aberdeen SD 57401-1865 |
Practice Telephone | 6052262663 |
Practice Fax Number | 6052250351 |
Mailing Telephone | 6052262663 |
Mailing Fax Number | 6052250351 |
Enumeration Date | 2012-08-20 |
Last Update Date | 2014-08-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
223 | SD | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006440 | PA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO 3554 | FL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | FLORIDA LIC | PO 3554 | 01 |
PA | PA | SC006440 | 01 |
Street Address |
701 8TH AVE NW |
City | ABERDEEN |
State | SD |
Zip Code | 57401-1865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588669907 | Bradley Douglas Orr | Physical Therapist | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2005-06-14 |
1013557669 | Ashley Marie Landis | Nurse Practitioner | 701 8th Ave Nw, Suite A, Aberdeen, SD 57401-1865 | 2020-01-12 |
1336546134 | Michelle Leader | Physician Assistant | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2014-11-24 |
1760884035 | Lucas Keahey | Physician Assistant | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2014-09-18 |
1124459391 | Avera St. Luke's | Orthopaedic Surgery | 701 8th Ave Nw, Aberdeen, SD 57401 | 2013-12-12 |
1144659715 | Seth Anderson | Physician Assistant | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2013-11-05 |
1013252790 | Sanford Health Network | Orthopaedic Surgery | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2012-12-06 |
1518226851 | Erica Pfaff | Physical Therapist | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2012-05-07 |
1629382619 | Jenna Marie Bain | Physical Therapist | 701 8th Ave Nw, Suite A, Aberdeen, SD 57401 | 2010-08-02 |
1811145592 | Rocky Hand | Physical Therapist | 701 8th Ave Nw, Aberdeen, SD 57401-1865 | 2008-09-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
Find all providers in zip 57401 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861820912 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 20 Cambridge Dr, Suite D, Aberdeen, NJ 07747-2256 | 2013-10-29 |
1780872549 | Christopher J. Mullin PC | Podiatrist | 20 Cambridge Dr, Suite D, Aberdeen, NJ 07747-2256 | 2007-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013256106 | S F Foot Specialist, Pllc | Podiatrist | 3900 W 41st Street, Sioux Falls, SD 57106-0715 | 2013-02-08 |
1508093147 | Sacred Heart Health Services | Podiatrist | 409 Summit St Ste 2600, Yankton, SD 57078-3746 | 2009-06-22 |
1699900308 | Mid Dakota Podiatry | Podiatrist | 2410 N Main St # 1149, Mitchell, SD 57301-5037 | 2009-05-26 |
1912973603 | Todd N Smith | Podiatrist | Pine Ridge Ihs Hospital, Pine Ridge, SD 57770-1201 | 2006-02-23 |
1558342766 | Gabriel Rodriguez | Podiatrist | 3900 W 41st St, Sioux Falls, SD 57106-0715 | 2005-11-07 |
1033113832 | Dan P Conrad | Podiatrist | 3641 Sturgis Rd, Rapid City, SD 57702-0321 | 2005-06-09 |
1841651825 | Tyler Richard Harrell | Podiatrist | 400 22nd Ave, Brookings, SD 57006-2450 | 2016-03-17 |
1861874075 | Darrel Richards | Podiatrist | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2015-06-24 |
1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
1124437595 | Ruth Ranum Moen | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 | 2014-08-10 |
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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.