PATRICK L RETTERATH (NPI# 1376588434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376588434 |
Entity Type | Individual |
Full Name | PATRICK L RETTERATH |
Credential | MD |
Practice Address |
1512 4th St Ne Watertown SD 57201-6824 |
Mailing Address |
1201 Mickelson Dr Ste 2 Watertown SD 57201-7253 |
Practice Telephone | 6058840100 |
Mailing Telephone | 6058820432 |
Mailing Fax Number | 6058820978 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2010-01-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2779 | SD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SD | BCBS | 4995672 | 01 |
SD | 5700374 | 05 | |
MN | 014226300 | 05 | |
SD | 5700375 | 05 |
Street Address |
1512 4TH ST NE |
City | WATERTOWN |
State | SD |
Zip Code | 57201-6824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184660151 | Innovative Procedural Center LLC | Clinic/Center | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
1003851163 | Innovative Pain Center LLC | Pain Medicine | 1512 4th St Ne, Watertown, SD 57201-6824 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
Find all providers in zip 57201 |
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 |
---|---|---|---|---|
1891904678 | Jack Jaffe | Anesthesiology | 15 Main St, Watertown, MA 02472-4403 | 2007-05-21 |
1295792893 | Lawrence M Littell | Anesthesiology | 18564 Us Route 11, Suite 2, Watertown, NY 13601-5900 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356410161 | Timothy J Metz | Anesthesiology | 911 E 20th St Ste 602, Sioux Falls, SD 57105-1048 | 2006-11-07 |
1205857901 | Todd Christopher Johnson | Anesthesiology | 101 Tower Rd Ste 103, Dakota Dunes, SD 57049-5007 | 2006-07-21 |
1073508131 | James T Brunz | Anesthesiology | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2005-09-14 |
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 |
1508806704 | Scott A Lockwood | Anesthesiology | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2006-06-07 |
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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.