VASCULAR & INTERVENTIONAL RADIOLOGY OF SIOUXLAND (NPI# 1225636129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225636129 |
| Entity Type | Organization |
| Organization Name | VASCULAR & INTERVENTIONAL RADIOLOGY OF SIOUXLAND |
| Practice Address |
345 W Steamboat Dr Ste 601 Dakota Dunes SD 57049-5287 |
| Practice Telephone | 6052175617 |
| Practice Fax Number | 6052175533 |
| Mailing Telephone | 6052175617 |
| Mailing Fax Number | 6052175533 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DR. CHAD R LAURICH (PRESIDENT) |
| Authorized Official Telephone | 6052175610 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
345 W STEAMBOAT DR STE 601 |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5287 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588156657 | Sage Medical Prof LLC | Surgery | 345 W Steamboat Dr Ste 701, Dakota Dunes, SD 57049-5287 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215007778 | Mitchell Surgical Prof. L.L.C. | Surgery | 2200 N Kimball St Ste 200, Mitchell, SD 57301-1122 | 2006-11-09 |
| 1598008724 | Benjamin Jorgensen | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2013-04-06 |
| 1174813729 | Gregory Kent Nissen | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2011-04-17 |
| 1861628059 | Angelo Noel Santos | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2009-06-02 |
| 1427140037 | Simon George Kovalik | Surgery | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-09-29 |
| 1649385451 | Steven J. Feldhaus | Surgery | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2006-08-20 |
| 1306893482 | Paul M Orecchia | Surgery | 4150 Fifth Street, Rapid City, SD 57701 | 2006-05-27 |
| 1881640241 | Greg A Schultz | Surgery | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2006-05-26 |
| City | DAKOTA DUNES |
| Zip Code | 57049 |
Please comment or provide details below to improve the information on VASCULAR & INTERVENTIONAL RADIOLOGY OF SIOUXLAND.
| 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.