DR. JOHN H SHELSO (NPI# 1164425740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164425740 |
| Entity Type | Individual |
| Full Name | DR. JOHN H SHELSO |
| Credential | MD |
| Practice Address |
1600 W 22nd St Sioux Falls SD 57105-1521 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053121000 |
| Practice Fax Number | 6053121001 |
| Mailing Telephone | 6053286585 |
| Mailing Fax Number | 6053286512 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
3920 | SD | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
36353 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200031050A | 05 | |
| IN | 200513750A | 05 | |
| AZ | 977465 | 05 | |
| LA | 1470945 | 05 | |
| GA | 694544897A | 05 | |
| SC | Q36354 | 05 | |
| AL | 009992005 | 05 | |
| NC | 7614234 | 05 | |
| NM | 82736863 | 05 | |
| NY | 02604722-03 | 05 | |
| AR | 154141001 | 05 | |
| KY | 64081276 | 05 | |
| IA | 0587857 | 05 | |
| TN | 5440119 | 05 | |
| MO | 209076900 | 05 | |
| ME | 422400000 | 05 | |
| MT | 0082960 | 05 | |
| MS | 05086744 | 05 |
| Street Address |
1600 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714245 | Shea Bonine | Genetic Counselor, MS | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-06-11 |
| 1952922932 | Kyla Stoops | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-05-01 |
| 1265064620 | Cassandra Larsen | Registered Nurse | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2020-02-04 |
| 1245871466 | Noelle Marie Mcgee | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-09-30 |
| 1780240622 | Nathaniel R. Nelson | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-05-16 |
| 1457914046 | Michelle Ahnberg | Clinical Nurse Specialist | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2019-04-18 |
| 1548737018 | Jacqueline Deborah Weidauer | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-11-01 |
| 1801373766 | Ashlee Blumhoff | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105 | 2018-07-24 |
| 1619464294 | Pamela Ann Koepsell | Clinical Nurse Specialist | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2018-04-18 |
| 1104335728 | Sarah Dorr | Nurse Practitioner | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982669362 | Kurt J Griffin | Pediatrics | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2006-04-19 |
| 1114993680 | Ashutosh Gupta | Pediatrics | 1417 S. Cliff Ave, Ste 010, Sioux Falls, SD 57105-1014 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164479630 | Rachel C Edelen | Pediatrics | 640 Flormann St, Rapid City, SD 57701 | 2006-05-28 |
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.