DESTINY HEALTHCARE INTERNATIONAL, INC


Address: 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715
Phone: 6053393378

DESTINY HEALTHCARE INTERNATIONAL, INC (NPI# 1356369995) 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) 1356369995
Entity Type Organization
Organization Name DESTINY HEALTHCARE INTERNATIONAL, INC
Practice Address 1417 S Minnesota Ave
Sioux Falls
SD 57105-1715
Practice Telephone 6053393378
Practice Fax Number 6053390710
Mailing Telephone 6053393378
Mailing Fax Number 6053390710
Enumeration Date 2006-07-18
Last Update Date 2018-03-17
Authorized Official Name DR. BRIAN K KIDMAN (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6053393378
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 1799 SD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD 5604647 05
SD 6701870 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2701 S Minnesota Ave, Suite 3, Sioux Falls, SD 571054744 6053393378 6053390710

Office Location

Street Address 1417 S MINNESOTA AVE
City SIOUX FALLS
State SD
Zip Code 57105-1715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104825918 David A Swanson Nuclear Medicine 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2005-07-14
1497385348 Paragon Health & Wellness, LLC Clinic/Center 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2020-01-20
1659718187 Arthur James Pepper Nurse Practitioner 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2013-05-23
1366625352 Melissa M Alexander Physician Assistant 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2007-12-12
1528287729 Claudia J Kapp Nurse Practitioner 1417 S Minnesota Ave, Sioux Falls, SD 57105 2007-04-25
1326187477 Medical Xray Center PC Radiology 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2007-02-05
1548351240 Alan J Tanner Radiology 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2006-09-27
1962466904 Daryl R Wierda Radiology 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2006-04-14
1922062645 Valdis A Dzintars Radiology 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2006-04-12
1912969346 John F Griffin Radiology 1417 S Minnesota Ave, Sioux Falls, SD 57105-1715 2006-04-03
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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 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1104246297 Kayla Norenberg Family Medicine 6110 S. Minnesota Avenue, Sioux Falls, SD 57108-2571 2014-04-16
1427492206 Nelly O Boyt Family Medicine 3524 S Spencer Blvd, Sioux Falls, SD 57103-4653 2013-04-23
1346512266 Avera Mckennan Family Medicine 1035 South Highline Place, Sioux Falls, SD 57110-1000 2012-02-08
1699005074 Avera Mckennan Family Medicine 930 E 6th St, Sioux Falls, SD 57103-1306 2010-01-06
1508196981 Avera Mckennan Family Medicine 1200 E 3rd St, Sioux Falls, SD 57103-0901 2010-01-06
1912153578 Avera Mckennan Family Medicine 501 N Sycamore Ave, Sioux Falls, SD 57110-5752 2008-08-14
1538315353 Michael P. Crandell Family Medicine 300 Cherapa Pl, Suite 201, Sioux Falls, SD 57103-2269 2008-08-12
1225293996 Jerry Leroi Walton Family Medicine 4310 S Minnesota Ave, Sioux Falls, SD 57105-6747 2008-07-22
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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