DAVID DEAN STIMPSON


Address: 111 Washington Ave Nw, Wagner, SD 57380
Phone: 6053843621

DAVID DEAN STIMPSON (NPI# 1295940385) 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) 1295940385
Entity Type Individual
Full Name DAVID DEAN STIMPSON
Credential RT
Practice Address 111 Washington Ave Nw
Wagner
SD 57380
Practice Telephone 6053843621
Practice Fax Number 6053843293
Mailing Telephone 6053843621
Mailing Fax Number 6053843293
Enumeration Date 2007-05-11
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 384415 SD Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD 5540030 05
SD 5540100 05

Office Location

Street Address 111 WASHINGTON AVE NW
City WAGNER
State SD
Zip Code 57380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710961081 Pedro H Ibarra-perocier General Practice 111 Washington Ave Nw, Wagner, SD 57380-4300 2005-12-01
1639650328 Amanda Neyhart Pharmacist 111 Washington Ave Nw, Wagner, SD 57380-4300 2018-08-22
1053861096 Judy Cuka Registered Nurse 111 Washington Ave Nw, Wagner, SD 57380-4300 2016-10-13
1154797165 Rishi Patel General Practice 111 Washington Ave Nw, Wagner, SD 57380-4300 2015-08-13
1205234481 Joshua Woods Pharmacist 111 Washington Ave Nw, Wagner, SD 57380-4300 2014-12-19
1649686080 Melody Otte Nurse Practitioner 111 Washington Ave Nw, Wagner, SD 57380-4300 2014-07-07
1437582053 Brittany Marie Rothschadl Physical Therapist 111 Washington Ave Nw, Wagner, SD 57380-4300 2013-08-19
1568778959 Joan Fillaus Dental Hygienist 111 Washington Ave Nw, Wagner, SD 57380-4300 2010-08-24
1588805816 Colleen R Permann Registered Nurse 111 Washington Ave Nw, Wagner, SD 57380-0111 2009-03-17
1396986626 Craig A Noteboom Registered Nurse 111 Washington Ave Nw, Wagner, SD 57380-0111 2009-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083070593 Carol Lee Stewart Nurse Practitioner 513 3rd Street Sw, Wagner, SD 57380 2016-01-13
1174906705 Jerika Kirwan Optometrist 720 West Hwy 46, Wagner, SD 57380 2015-07-01
1134334766 Drew Tyler Anderson Chiropractor 109 1st St Sw, Wagner, SD 57380 2007-05-14
1326066796 Wagner Indian Health Service Health Center Clinic/Center 111 Washington Ave, Wagner, SD 57380 2006-07-17
1447220603 Jay Joseph Fitzgerald Chiropractor 109 1st. St. Sw, Wagner, SD 57380 2006-01-23
1649759499 The Evangelical Lutheran Good Samaritan Society Nurse Practitioner 515 W Highway 46, Wagner, SD 57380 2018-08-13
1205973732 James Pharmacy Inc Pharmacy 201 Main St., Wagner, SD 57380 2007-02-01
1679653208 Julie Kristina Williams Optometrist 111 Washington Ave, Wagner Indian Health Services, Wagner, SD 57380 2006-10-17
1477575827 Mark Struble Optometrist 121 S Main Ave, Wagner, SD 57380 2006-07-24
1326060054 Sanford Medical Center Clinic/Center 111 Washington St, Wagner, SD 57380 2006-07-24
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992024137 Jackalyn Spry Radiologic Technologist 4500 E Hwy 18, Pine Ridge, SD 57770 2010-05-27
1205096682 Patrick Mcfarland Radiologic Technologist 420 4th St Ne Ste 122, Watertown, SD 57201-2658 2008-06-10
1770513475 Mitchell Diagnostic Radiologic Technologist 2250 N Kimball St Ste 600, Mitchell, SD 57301-5335 2006-07-05
1508263690 Monica Hanson Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2014-12-04
1851726376 Jennifer Marie Fuhr Radiologic Technologist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2013-09-04
1447577580 Kami H Wolf Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2010-04-29
1831416973 Debra M Meyers Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2010-04-29
1871810911 Sherry L Langstaff Radiologic Technologist 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 2010-04-29
1730419557 Elijah John Wolfe Radiologic Technologist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2009-12-29
1326273707 Brenda Ann Jackson Radiologic Technologist 100 Lake Traverse Dr, Sisseton, SD 57262-7046 2009-05-28
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Competitor

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City WAGNER
Zip Code 57380

Improve Information

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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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