KELLY GEORGE MCCAUL


Address: 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122
Phone: 6053223035

KELLY GEORGE MCCAUL (NPI# 1295701522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295701522
Entity Type Individual
Full Name KELLY GEORGE MCCAUL
Credential M.D.
Practice Address 1000 E. 23rd St.
Ste. 200
Sioux Falls
SD 57105-2122
Mailing Address Po Box 86370
Sioux Falls
SD 57118-6370
Practice Telephone 6053223035
Practice Fax Number 6053223036
Mailing Telephone 6053227510
Mailing Fax Number 6053226475
Enumeration Date 2006-02-27
Last Update Date 2018-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
4717 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD HEALTHPARTNERS HP32347 01
SD 6630680 05
SD ARAZ/ AMERICA'S PPO 1109863 01
SD MIDLANDS CHOICE 26746 01
MN CC SYSTEMS/ BLUE PLUS 74Q10MC 01
SD DAKOTACARE 4717 01
SD RR MEDICARE 820000376 01
MN PRIMEWEST 92411422911 01
SD WPS TRICARE 57105AH02 01
SD SANFORD HEALTH PLAN 28222 01
MN BLUE CROSS 74Q10MC 01
IA 0536219 05
MN 143425000 05
SD BLUE CROSS 0007443 01
SD MEDICA 3000020 01
SD DEPT OF LABOR 370624200 01
NE 46022474342 05
SD PREFERRED ONE 678061025597 01

Office Location

Street Address 1000 E. 23RD ST.
STE. 200
City SIOUX FALLS
State SD
Zip Code 57105-2122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124017256 Michael Stephen Mchale Internal Medicine 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 2005-10-20
1902179906 Ahmed Galal Internal Medicine 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122 2012-02-22
1477847861 Avera Mckennan Radiology 1000 E. 23rd St., Ste. 100, Sioux Falls, SD 57105-2113 2011-06-03
1679874242 Jennifer Louise Reiner Nurse Practitioner 1000 E. 23rd St., Ste. 350, Sioux Falls, SD 57105-2113 2010-11-12
1609198126 Nancy Jean Terveen Nurse Practitioner 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 2010-02-25
1295961506 April Joy Schnieder Nurse Practitioner 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 2009-06-02
1932346251 Avera Mckennan Obstetrics & Gynecology 1000 E. 23rd St., Ste. 350, Sioux Falls, SD 57105-2140 2009-01-08
1871751867 David Charles Starks Obstetrics & Gynecology 1000 E. 23rd St., Ste. 350, Sioux Falls, SD 57105-2140 2008-05-28
1912107368 Benjamin Maurice Solomon Internal Medicine 1000 E. 23rd St., Suite 230, Sioux Falls, SD 57105-2122 2007-07-24
1487784666 Carole Ann Chell Nurse Practitioner 1000 E. 23rd St., Ste 230, Sioux Falls, SD 57105-2122 2007-03-06
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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
1174686547 Brian Leyland-jones Internal Medicine 1000 E 23rd St, Suite 200, Sioux Falls, SD 57105-2108 2006-12-18
1235196056 Mchale Institute, P.C. Internal Medicine 3720 W 69th St, Sioux Falls, SD 57108 2006-04-26
1538135447 Avera Mckennan Internal Medicine 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122 2006-02-28
1013983352 Vinod Parameswaran Internal Medicine 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105-2122 2006-02-27
1750357299 Mark R Huber Internal Medicine 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 2006-02-24
1033185582 Avera Mckennan Internal Medicine 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 2006-02-24
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

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.

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