BLACK HILLS REGIONAL EYE SURGERY CENTER, LLC


Address: 2800 3rd St, Rapid City, SD 57701-7374
Phone: 6053412000

BLACK HILLS REGIONAL EYE SURGERY CENTER, LLC (NPI# 1174654081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174654081
Entity Type Organization
Organization Name BLACK HILLS REGIONAL EYE SURGERY CENTER, LLC
Other Organization Name BLACK HILLS REGIONAL SURGERY ANESTHESIA
Practice Address 2800 3rd St
Rapid City
SD 57701-7374
Practice Telephone 6053412000
Practice Fax Number 6053410278
Mailing Telephone 6053412000
Mailing Fax Number 6053410278
Enumeration Date 2007-03-09
Last Update Date 2009-10-09
Authorized Official Name JODI SUDRALA (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6053412000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Black Hills Regional Surgery Anesthesia Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346220183 Black Hills Regional Eye Surgery Center, LLC Clinic/Center 2800 3rd St, Rapid City, SD 57701-7374 2006-01-18

Office Location

Street Address 2800 3RD ST
City RAPID CITY
State SD
Zip Code 57701-7374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063492940 Prema Abraham Ophthalmology 2800 3rd St, Rapid City, SD 57701-7374 2006-01-18
1093129256 Jess Moser Optometrist 2800 3rd St, Rapid City, SD 57701-7374 2014-06-16
1366700460 Adam Jorgensen Ophthalmology 2800 3rd St, Rapid City, SD 57701 2012-04-26
1104114487 Black Hills Regional Eye Institute Refractive Surgery Center, LLC Clinic/Center 2800 3rd St, Rapid City, SD 57701-7374 2011-07-20
1518139070 Stephen S Khachikian Ophthalmology 2800 3rd St, Rapid City, SD 57701-7374 2008-03-25
1558575498 Scott Schirber Optometrist 2800 3rd St, Rapid City, SD 57701-7374 2007-05-10
1912073834 Black Hills Regional Eye Institute Optometrist 2800 3rd St, Rapid City, SD 57701-7374 2006-11-24
1710051602 Bert C Corwin Optometrist 2800 3rd St, Rapid City, SD 57701-7374 2006-11-20
1679653240 Ryan Leo Scarborough Optometrist 2800 3rd St, Rapid City, SD 57701 2006-10-17
1689687683 Optical Works Inc Technician/Technologist 2800 3rd St, Rapid City, SD 57701-7374 2006-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528623345 Julie Maas Counselor 625 1/2 Main St, Suite 1, Rapid City, SD 57701 2019-05-07
1972076024 Edgewood Rapid City LLC Assisted Living Facility 4001 Derby Lane, Rapid City, SD 57701 2019-01-10
1902300247 Theresa Gibbens Speech-Language Pathologist 3301 Grandview Drive, Rapid City, SD 57701 2018-03-21
1407355423 Arielle Leigh Loveridge Chiropractor 610 East Boulevard, Suite 1, Rapid City, SD 57701 2018-02-05
1083125082 Sarah Kirschman Nurse Practitioner 353 Fairmont Boulvevard, Rapid City, SD 57701 2017-10-17
1992225239 Kelsey Elizabeth Wondercheck Dentist 717 Meade Street, Suite 200, Rapid City, SD 57701 2017-06-27
1316476088 Rhianna Wickett Physical Therapist 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 2017-06-07
1841727773 Cynthia A Gates Dietitian, Registered 2908 5th Street, Rapid City, SD 57701 2017-05-23
1811447758 Alyssa Marquardt Psychologist 433 Mt. Rushmore Road, Rapid City, SD 57701 2016-10-04
1578913232 .indian Health Service Clinic/Center 241 East Meade St, Rapid City, SD 57701 2016-06-14
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073817870 Anesthesia Solutions, PC Nurse Anesthetist, Certified Registered 540 Deadwood Ave, Suite 112, Rapid City, SD 57702-0395 2011-01-07
1528202967 Mary E Bryant Nurse Anesthetist, Certified Registered 3748 Olympic Ct, Rapid City, SD 57702-0529 2009-04-29
1720031933 Leroy R Messmer Nurse Anesthetist, Certified Registered 3615 5th Street, Suite 100, Rapid City, SD 57701 2006-05-18
1376523126 Kara Lynn Mcmachen Nurse Anesthetist, Certified Registered 353 Fairmont Blvd., Rapid City, SD 57701 2006-01-18
1649265018 Joseph Werner Nurse Anesthetist, Certified Registered 240 Minnesota St, Rapid City, SD 57701-6200 2005-09-13
1982699369 Richard Carlson Nurse Anesthetist, Certified Registered 3615 5th St Ste 100, Rapid City, SD 57701 2005-09-13
1730713074 Teresa Olive Ohlmacher Nurse Anesthetist, Certified Registered 353 Fairmont Blvd, Rapid City, SD 57701-7375 2020-02-25
1821557943 Trevor Rockwell Potts Nurse Anesthetist, Certified Registered 216 Anamaria Dr, Rapid City, SD 57701-7366 2019-03-18
1386135143 Brittani Neely Nurse Anesthetist, Certified Registered 216 Anamaria Dr, Rapid City, SD 57701-7366 2018-05-28
1306334693 Tyson Kurt Lange Nurse Anesthetist, Certified Registered 353 Fairmont Blvd, Rapid City, SD 57701-7375 2018-04-23
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City RAPID CITY
Zip Code 57701

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Dataset Information

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.

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