NORTH CENTRAL HEART INSTITUTE (NPI# 1285622670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285622670 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL HEART INSTITUTE |
| Practice Address |
4520 W 69th St Sioux Falls SD 57108-8148 |
| Practice Telephone | 6059775000 |
| Practice Fax Number | 6059775377 |
| Mailing Telephone | 6059775000 |
| Mailing Fax Number | 6059775377 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | DR. DAVID A NAGELHOUT (PRESIDENT) |
| Authorized Official Telephone | 6059775000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0142 | SD | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0142 | SD | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0142 | SD | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0142 | SD | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0142 | SD | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 0142 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 14973 | 01 |
| MN | 151712100 | 05 | |
| MN | MN BCBS FACILITIES | 538R2NO | 01 |
| MN | MN BC BS | 91057NO | 01 |
| SD | SD BCBS | 0000040 | 01 |
| IA | IA BC BS | 53983 | 01 |
| SD | DAKOTACARE | 9236252 | 01 |
| IA | 0920074 | 05 |
| Street Address |
4520 W 69TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043075 | Shayla Ann Johnson | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2019-10-01 |
| 1740839877 | Thomas James Babb | Pharmacist | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2019-09-11 |
| 1629550512 | Jessica Powell | Physician Assistant | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2018-09-06 |
| 1437668027 | Kathryn Ann Adams | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2017-09-26 |
| 1881133122 | Mary Stephanie Kirkpatrick | Registered Nurse | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2017-02-20 |
| 1972907939 | Julie Langerock | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2014-10-20 |
| 1972932374 | Lisa Catherine Doom-anderson | Nurse Practitioner | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2013-11-06 |
| 1407109705 | Heart Hospital of South Dakota LLC | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-10-24 |
| 1154674786 | Mohammed Andaleeb Chowdhury | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-10-19 |
| 1225392160 | Thomas M. Waterbury | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-06-26 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685050 | Mary Slattery | Internal Medicine | 808 E Tomar Pl, Sioux Falls, SD 57105-7019 | 2014-02-20 |
| 1891782645 | Kevin J Vaska | Internal Medicine | 6709 S Minnesota Ave Ste 101, Sioux Falls, SD 57108-2593 | 2005-10-05 |
| 1023013075 | Lloyd E Solberg | Internal Medicine | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2005-06-16 |
| 1518527399 | Csd Care of Sd, LLC | Internal Medicine | 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 | 2019-06-14 |
| 1154674786 | Mohammed Andaleeb Chowdhury | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-10-19 |
| 1972879161 | John Francis Wagener | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-04-01 |
| 1215166921 | Ewa A Konik | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2009-07-02 |
| 1831302009 | Orvar Jonsson | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-07 |
| 1740493964 | Maria Stys | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-07 |
| 1447304076 | Donald T Bishop | Internal Medicine | 911 E 20th St, Suite 405, Sioux Falls, SD 57105-1042 | 2007-01-22 |
| Find all providers in SIOUX FALLS | ||||
| 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.