MARY WUEBBEN WELLNESS (NPI# 1174161723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161723 |
| Entity Type | Organization |
| Organization Name | MARY WUEBBEN WELLNESS |
| Practice Address |
6709 S Minnesota Ave Ste 205 Sioux Falls SD 57108-2593 |
| Practice Telephone | 6052711020 |
| Practice Fax Number | 6052712277 |
| Mailing Telephone | 6052711020 |
| Mailing Fax Number | 6052712277 |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | DR. RIZAN HAJAL (PRESIDENT) |
| Authorized Official Telephone | 6053214341 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mary Wuebben Wellness | Doing Business As Name - Organization |
| Street Address |
6709 S MINNESOTA AVE STE 205 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235182254 | Mary Jane Wuebben | Physician Assistant | 6709 S Minnesota Ave Ste 205, Sioux Falls, SD 57108-2593 | 2006-05-19 |
| 1346723830 | Katherine E Ericson | Nurse Practitioner | 6709 S Minnesota Ave Ste 205, Sioux Falls, SD 57108-2593 | 2018-09-11 |
| 1124488259 | Gina A Ditta-donahue | Nurse Practitioner | 6709 S Minnesota Ave Ste 205, Sioux Falls, SD 57108-2593 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383329 | Lmmc Sioux Falls, LLC | General Practice | 5919 S Remington Pl, Sioux Falls, SD 57108-5143 | 2019-12-20 |
| 1619155090 | Sanford Consumer Services LLC | General Practice | 1301 E 10th St, Sioux Falls, SD 57103-1780 | 2008-02-07 |
| 1265610679 | Sanford Consumer Services LLC | General Practice | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2008-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376838839 | Paul Thrasher Denna | General Practice | 803 E. Milbank Ave., Milbank, SD 57252 | 2011-06-13 |
| 1740519073 | Joselyn Agosto-betancourt | General Practice | East Highway 18 Ihs Compound, Pine Ridge, SD 57770-1201 | 2009-12-16 |
| 1679756399 | Johanna Militza Camacho | General Practice | 24276 166 Th St Airport Road, Eagle Butte, SD 57625 | 2007-12-17 |
| 1912187865 | Steven Michael Burtz | General Practice | 1702 Main St, Tyndall, SD 57066 | 2007-11-08 |
| 1366647893 | Julio Enrique Almeyda | General Practice | 24276 166 St Airport Road, Eagle Butte, SD 57625-1155 | 2007-06-15 |
| 1548477565 | Arlene Flores | General Practice | Camino Aviles Res Carr 830, Km5.2 Cerro Gordo, Bayamon, SD 00956-9606 | 2007-05-17 |
| 1063630150 | Elizabeth Anne Pearl | General Practice | 7037 Freedom Ct, Apt B, Summerset, SD 57718-8712 | 2007-04-23 |
| 1942382585 | Robert C. Preston | General Practice | 408 Knollwood Dr, Rapid City, SD 57701-0600 | 2006-10-20 |
| 1083624241 | Antonio Mora Alandy | General Practice | 200 J Ave Ste A, Eureka, SD 57437-2225 | 2006-08-09 |
| 1710961081 | Pedro H Ibarra-perocier | General Practice | 111 Washington Ave Nw, Wagner, SD 57380-4300 | 2005-12-01 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.