DR. TIMOTHY J METZ (NPI# 1356410161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356410161 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J METZ |
| Credential | MD |
| Practice Address |
911 E 20th St Ste 602 Sioux Falls SD 57105-1048 |
| Mailing Address |
5105 S Pennbrook Ave Sioux Falls SD 57108-2990 |
| Practice Telephone | 6053387098 |
| Practice Fax Number | 6053353505 |
| Mailing Telephone | 6053380500 |
| Mailing Fax Number | 6053353505 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4713 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5700900 | 05 | |
| SD | BLUE CROSS SD | 4997536 | 01 |
| IA | 532754 | 05 | |
| MN | BLUE CROSS MN | 96D03ME | 01 |
| MN | 590007700 | 05 |
| Street Address |
911 E 20TH ST STE 602 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1048 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508131 | James T Brunz | Anesthesiology | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2005-09-14 |
| 1508806704 | Scott A Lockwood | Anesthesiology | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205857901 | Todd Christopher Johnson | Anesthesiology | 101 Tower Rd Ste 103, Dakota Dunes, SD 57049-5007 | 2006-07-21 |
| 1083051817 | Avera St. Luke's | Anesthesiology | 815 1st Ave Se, Aberdeen, SD 57401 | 2013-06-03 |
| 1093736779 | John Edward Cook | Anesthesiology | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 2006-07-21 |
| 1841211471 | Frederick Charles Fisher | Anesthesiology | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 2006-07-21 |
| 1376588434 | Patrick L Retterath | Anesthesiology | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
| 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.