MELODY A SHRACK (NPI# 1306131602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306131602 |
| Entity Type | Individual |
| Full Name | MELODY A SHRACK |
| Other Name | MELODY R ANDERSON |
| Credential | M.D. |
| Practice Address |
103 W Pioneer Ave Viborg SD 57070 |
| Mailing Address |
103 W. Pioneer Ave. Viborg SD 57070 |
| Practice Telephone | 6053265201 |
| Practice Fax Number | 6053265196 |
| Mailing Telephone | 6053265201 |
| Mailing Fax Number | 6053265196 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12197 | SD | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD2013-0913 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01071457A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201093130 | 05 |
| Street Address |
103 W PIONEER AVE |
| City | VIBORG |
| State | SD |
| Zip Code | 57070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942728183 | Ashley Johnson | Physician Assistant | 103 W Pioneer Ave, Viborg, SD 57070 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538656400 | Viborg Retirement Living, Inc | Assisted Living Facility | 211 Peterson Drive, Viborg, SD 57070 | 2018-04-17 |
| 1306918925 | Viborg School District | Local Education Agency (LEA) | 324 Park Avenue, Viborg, SD 57070 | 2006-11-15 |
| 1487744488 | Lewis Family Drug, LLC | Pharmacy | 104 W Park Ave, Viborg, SD 57070 | 2006-10-13 |
| 1114956059 | Viborg Ambulance Service | Ambulance | 101 W Sorenson St, Viborg, SD 57070 | 2006-07-02 |
| 1003451881 | Alex Kalsbeck | Nurse Practitioner | 103 W Pioneer, Viborg, SD 57070 | 2019-11-15 |
| 1871049155 | Michele R Rohde | Nurse Practitioner | 103 W Pioneer, Viborg, SD 57070 | 2016-08-28 |
| 1275928137 | Randall K Hahn Dds | Dentist | 103 W Pioneer, Viborg, SD 57070 | 2015-03-30 |
| 1821286667 | Robert Randal Taylor | Chiropractor | 102 N Main St, Viborg, SD 57070 | 2007-10-05 |
| 1689823239 | Linda L. Richardson | Counselor | 117 N. Main, Viborg, SD 57070-0094 | 2008-09-18 |
| 1871523555 | Boone Family Chiropractic P.C. | Chiropractor | 102 N Main St., Viborg, SD 57070-0203 | 2006-07-05 |
| Find all providers in zip 57070 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938680 | Gabriel David Johnson | Family Medicine | 315 N Washington St, Viborg, SD 57070-2002 | 2014-10-28 |
| 1356544688 | Shamim Sultana | Family Medicine | 315 N Washington St, Viborg, SD 57070-2002 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343505 | Kaitlyn Mae Fritz | Family Medicine | Wellness Center 103, Brookings, SD 57007-0001 | 2020-10-12 |
| 1447877386 | Black Hills Primary Care PC | Family Medicine | 8075 Stage Stop Rd., Summerset, SD 57718 | 2020-06-26 |
| 1467003251 | Arthur Lampert | Family Medicine | 1770 Tablerock Rd Apt 120, Rapid City, SD 57701-5586 | 2019-09-24 |
| 1851883540 | Modern Day Health Care Prof LLC | Family Medicine | 125 Railroad Ave Se, Aberdeen, SD 57401-4202 | 2018-05-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1023524741 | Quick Health Urgent Care LLC | Family Medicine | 7600 S Louise Ave Ste 150, Sioux Falls, SD 57108-5999 | 2017-12-18 |
| 1568991446 | Callie Pederson | Family Medicine | 28th Medical Group, 2900 Doolitle Drive, Ellsworth Afb, SD 57706-4821 | 2017-06-05 |
| 1144751256 | Maya Itza Koehler | Family Medicine | 534 Oregon Ave Se, Huron, SD 57350-2801 | 2017-03-22 |
| 1578004883 | Sacred Heart Health Services | Family Medicine | 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078-5371 | 2017-03-20 |
| 1073992004 | Monument Health Network, Inc. | Family Medicine | 209 Ramsland St, Buffalo, SD 57720-0045 | 2015-05-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MELODY A SHRACK.
| 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.