BLACK HILLS PODIATRY (NPI# 1275663213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275663213 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS PODIATRY |
| Practice Address |
904 Quincy St Rapid City SD 57701-2608 |
| Practice Telephone | 6053433511 |
| Practice Fax Number | 6053434449 |
| Mailing Telephone | 6053433511 |
| Mailing Fax Number | 6053434449 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | DR. NEIL SKEA (OWNER) |
| Authorized Official Telephone | 6053433511 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
96-SD | SD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6800060 | 05 |
| Street Address |
904 QUINCY ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043309891 | Wesley L Sufficool | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2006-10-12 |
| 1124410584 | Surgical Solutions Professional Limited Liability Company | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2015-02-23 |
| 1497161681 | Abigail Nicole Vogel | Nurse Practitioner | 904 Quincy St, Rapid City, SD 57701-2608 | 2014-07-08 |
| 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 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113832 | Dan P Conrad | Podiatrist | 3641 Sturgis Rd, Rapid City, SD 57702-0321 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013256106 | S F Foot Specialist, Pllc | Podiatrist | 3900 W 41st Street, Sioux Falls, SD 57106-0715 | 2013-02-08 |
| 1508093147 | Sacred Heart Health Services | Podiatrist | 409 Summit St Ste 2600, Yankton, SD 57078-3746 | 2009-06-22 |
| 1699900308 | Mid Dakota Podiatry | Podiatrist | 2410 N Main St # 1149, Mitchell, SD 57301-5037 | 2009-05-26 |
| 1912973603 | Todd N Smith | Podiatrist | Pine Ridge Ihs Hospital, Pine Ridge, SD 57770-1201 | 2006-02-23 |
| 1558342766 | Gabriel Rodriguez | Podiatrist | 3900 W 41st St, Sioux Falls, SD 57106-0715 | 2005-11-07 |
| 1841651825 | Tyler Richard Harrell | Podiatrist | 400 22nd Ave, Brookings, SD 57006-2450 | 2016-03-17 |
| 1861874075 | Darrel Richards | Podiatrist | 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 | 2015-06-24 |
| 1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
| 1124437595 | Ruth Ranum Moen | Podiatrist | 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6029 | 2014-08-10 |
| 1285074997 | David Rettedal | Podiatrist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2013-06-26 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on BLACK HILLS PODIATRY.
| 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.