BETSY JO BOLTON (NPI# 1144574997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144574997 |
| Entity Type | Individual |
| Full Name | BETSY JO BOLTON |
| Credential | PA-C |
| Practice Address |
455 N Sioux Point Rd Dakota Dunes SD 57049-5327 |
| Practice Telephone | 6052177000 |
| Practice Fax Number | 6052177015 |
| Mailing Telephone | 6052177000 |
| Mailing Fax Number | 6052177015 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002351 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
455 N SIOUX POINT RD |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386896 | Patrick M Walsh | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| 1851999411 | Tara Liddiard | Nurse Practitioner | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2020-10-15 |
| 1407375736 | Chad Paul Millikan | Nurse Practitioner | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2017-09-19 |
| 1609293976 | Elkhorn Valley Anesthesia, PC | Nurse Anesthetist, Certified Registered | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2014-03-25 |
| 1770913766 | Lukas Sachau | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2013-11-12 |
| 1518300573 | Jamie Lund Olsen | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049 | 2013-04-09 |
| 1952660011 | Adam Benjamin Althaus | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2012-05-10 |
| 1780988600 | Sarah M Brend | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2011-01-06 |
| 1538394952 | David Henry Daniels II | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2009-05-29 |
| 1356589030 | Kathryn Therese Kassin | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2009-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010162 | Nicholas Emile Fernando | Physician Assistant | 101 Tower Rd, Suite 103, Dakota Dunes, SD 57049-5007 | 2005-06-01 |
| 1720416563 | Crystal M Oberle | Physician Assistant | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 | 2013-10-14 |
| 1780988600 | Sarah M Brend | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2011-01-06 |
| 1225332463 | Molly E Schooley | Physician Assistant | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2011-01-03 |
| 1831139328 | Mercy Medical Services | Physician Assistant | 330 Dakota Dunes Blvd, Dakota Dunes, SD 57049-0000 | 2006-06-07 |
| 1376547034 | Lori A Drea | Physician Assistant | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2005-06-10 |
| 1073517314 | Faye M Winder | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595545 | Kayla Weisbeck | Physician Assistant | 200 E Havens Ave, Mitchell, SD 57301-0432 | 2014-11-06 |
| 1306269287 | Prairie Community Health Inc. | Physician Assistant | 223 A Street, Dupree, SD 57623-9999 | 2014-01-28 |
| 1528392941 | Marilyn Margaret Roberts | Physician Assistant | Crhc, 24276 166th St, Airport Rd, Eagle Butte, SD 57625-1012 | 2009-10-01 |
| 1255516324 | Harding County Healthcare LLC | Physician Assistant | 209 Ramsland Street, Buffalo, SD 57720-0182 | 2008-01-08 |
| 1790972719 | Angela Blane Chambers | Physician Assistant | 161 S Main St., Mission, SD 57555 | 2007-10-03 |
| 1649348590 | Richard Dunn | Physician Assistant | Pine Ridge Hospital East Highway 18, Pine Ridge, SD 57770-1201 | 2006-11-30 |
| 1649368960 | Gary Neil Wurgler | Physician Assistant | 47226 S Rhonda Ave, Sioux Falls, SD 57108 | 2006-10-11 |
| 1558464446 | Douglas County Memorial Hospital | Physician Assistant | 301 Main Street, Stickney, SD 57375-0014 | 2006-09-06 |
| 1760493811 | Renette Lynne Kroupa | Physician Assistant | Hwy 34/47, Fort Thompson, SD 57339 | 2006-08-11 |
| 1356375992 | Ruth M Thomas | Physician Assistant | Soldier Creek Road,box 400, Rosebud Indian Health Service Hospital, Rosebud, SD 57570-0400 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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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.