JACOB KUSMAK (NPI# 1285833459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285833459 |
| Entity Type | Individual |
| Full Name | JACOB KUSMAK |
| Practice Address |
1310 W 22nd St Sioux Falls SD 57105-1501 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 6053288600 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2011-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5144 | SD | Pharmacy Service Providers |
| Y | 207N00000X | Dermatology | PENDING | SD | Allopathic & Osteopathic Physicians |
| Street Address |
1310 W 22ND ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375038 | Richard J Barth | Internal Medicine | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2005-06-13 |
| 1346722790 | Holly Graves | Nurse Practitioner | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2018-09-02 |
| 1699292052 | Lexi Jorden Wood | Physician Assistant | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2017-08-27 |
| 1407209703 | Breanne Rose Haller | Nurse Practitioner | 1310 W 22nd St, Second Floor, Sioux Falls, SD 57105-1501 | 2016-07-21 |
| 1043695679 | Shana Bauer Vaith | Audiologist | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2015-07-24 |
| 1679958524 | Jessica Hagg | Audiologist | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2015-07-21 |
| 1053754994 | Sean Johnson | Otolaryngology | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2013-04-10 |
| 1528231305 | Lori B Miller | Audiologist-Hearing Aid Fitter | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2008-04-11 |
| 1275703415 | Jana Elwood | Physician Assistant | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2008-03-04 |
| 1265630719 | Sarah Christine Kerr | Dermatology | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992996771 | Valerie Flynn | Dermatology | 6701 S. Minnesota Ave, Sioux Falls, SD 57108-2591 | 2007-08-06 |
| 1346216074 | Avera Mckennan | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| 1669448387 | Dennis D Knutson | Dermatology | 116 W. 69th St., Ste. 100, Sioux Falls, SD 57108 | 2006-02-23 |
| 1598762544 | Sarah K Sarbacker | Dermatology | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 2005-07-06 |
| 1669836276 | Emily Elizabeth Gaster | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2016-04-09 |
| 1740623776 | Kendra D Watson | Dermatology | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 2013-04-09 |
| 1003051020 | Lazaderm Skin Care Centre PC | Dermatology | 5011 S Louise Ave, Sioux Falls, SD 57108-2268 | 2008-12-04 |
| 1982870820 | Carmen Marie Schwartz | Dermatology | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 2008-04-30 |
| 1578737367 | Jenny Lynn Nelson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2008-04-14 |
| 1023203619 | Sanford Clinic | Dermatology | 5019 S Western Ave, Ste 200, Sioux Falls, SD 57108-5095 | 2007-09-07 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.