DR. BONGI AYAANA NATALIE RUDDER (NPI# 1255531430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255531430 |
| Entity Type | Individual |
| Full Name | DR. BONGI AYAANA NATALIE RUDDER |
| Credential | MD |
| Practice Address |
3015 3rd Ave Se Aberdeen SD 57401-5418 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6052265500 |
| Practice Fax Number | 6052265601 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 8822 | SD | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
8822 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3015 3RD AVE SE |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-5418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823978 | Christian Andrew Eby | Anesthesiology | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2005-09-28 |
| 1760093751 | Rosa Eyton | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2020-08-12 |
| 1700446200 | Leah Defea | Family Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2019-06-17 |
| 1245706001 | Charles Xavier Pugsley | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2018-10-19 |
| 1942792411 | Jenna Braun | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401 | 2018-05-31 |
| 1861923211 | Yang-ying Lin | Family Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2017-03-27 |
| 1629528591 | Angela Elizabeth Williams | Physician Assistant | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2016-10-04 |
| 1306395710 | Jordan Voss-severson | Nurse Practitioner | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2016-09-26 |
| 1689022584 | Nida Maham | Internal Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2016-06-01 |
| 1255707519 | Hafiz Rehman | Internal Medicine | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336483551 | Avera St. Luke's | Internal Medicine | 310 S Penn St Ste 106, Aberdeen, SD 57401-4553 | 2012-11-15 |
| 1518148535 | Richard J Conklin, Md | Internal Medicine | 620 3rd Ave Se, Aberdeen, SD 57401-4507 | 2007-11-19 |
| 1851394662 | Richard J Conklin | Internal Medicine | 310 S Penn St, Suite 105, Aberdeen, SD 57401-4553 | 2005-05-24 |
| 1457831497 | Conklin Clinics, Prof LLC | Internal Medicine | 1409 6th Ave Se Ste 5, Aberdeen, SD 57401-4950 | 2018-08-20 |
| 1194952150 | Conklin Regional Cancer Center PC | Internal Medicine | 620 3rd Ave Se, Aberdeen, SD 57401-4554 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568986040 | Avera Queen of Peace | Internal Medicine | 605 N Foster St Ste 100, Mitchell, SD 57301-2902 | 2017-07-27 |
| 1184935652 | Houman Nourkeyhani | Internal Medicine | 1000 E 23rd St Ste 230, Sioux Falls, SD 57105-2122 | 2010-06-29 |
| 1124017256 | Michael Stephen Mchale | Internal Medicine | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2005-10-20 |
| 1275528382 | Thomas B Tan | Internal Medicine | Rapid City Regional Hospital, 353 Fairmont Blvd., Rapid City, SD 57701 | 2005-09-14 |
| 1437155140 | Miroslaw A Mazurczak | Internal Medicine | 1309 W 17th St, Ste 101, Sioux Falls, SD 57104-8805 | 2005-06-27 |
| 1164780201 | Avera Mckennan | Internal Medicine | 3720 W 69th St, Sioux Falls, SD 57108-8192 | 2012-04-26 |
| 1063787083 | Rapid City Regional Hospital Inc | Internal Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2012-03-09 |
| 1912285560 | Purva Sharma | Internal Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2011-08-01 |
| 1275760860 | James A Kuzman | Internal Medicine | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2009-06-22 |
| 1174686547 | Brian Leyland-jones | Internal Medicine | 1000 E 23rd St, Suite 200, Sioux Falls, SD 57105-2108 | 2006-12-18 |
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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.