MICHELLE L DAFFER (NPI# 1396711867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396711867 |
| Entity Type | Individual |
| Full Name | MICHELLE L DAFFER |
| Other Name | MICHELLE L HUNKE |
| Credential | MD |
| Practice Address |
705 Sioux Point Rd Suite 100 Dakota Dunes SD 57049-5091 |
| Practice Telephone | 6052175500 |
| Practice Fax Number | 6052175515 |
| Mailing Telephone | 6052175500 |
| Mailing Fax Number | 6052175515 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2010-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5461 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE | 0442046 | 01 |
| IA | MEDICAID | I12538 | 01 |
| SD | RR MEDICARE | 000166004 | 01 |
| SD | 5900470 | 05 |
| Street Address |
705 SIOUX POINT RD SUITE 100 |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104890888 | William R Blankenship | Internal Medicine | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-02-17 |
| 1316150758 | Mercy Weight Loss Center At Dakota Dunes | Specialist | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2007-05-08 |
| 1578539540 | Paul E Johnson | Surgery | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-02-28 |
| 1053387522 | Amy L Dietrich | Physician Assistant | 705 Sioux Point Rd, Ste 100, Dakota Dunes, SD 57049 | 2006-02-24 |
| 1689640153 | Brenda L Van Scoyk | Physician Assistant | 705 Sioux Point Rd, Ste 100, Dakota Dunes, SD 57049-5091 | 2006-02-24 |
| 1831165307 | Robert E Anderson | Surgery | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-02-24 |
| 1740256213 | Larry D Foster | Surgery | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049 | 2006-02-24 |
| 1659347128 | William A Rizk | Surgery | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-02-24 |
| 1427023092 | Gary R Carlton | Surgery | 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003079773 | Inderjit Chabra | Dermatology | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720441496 | Kathleen Engeln | Dermatology | 105 S State St # 202, Aberdeen, SD 57401-4501 | 2016-03-31 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1972790160 | Christopher Gasbarre | Dermatology | 550 East Colorado Blvd, Spearfish, SD 57783-2776 | 2007-10-02 |
| 1124210828 | Linda Jo Fromm | Dermatology | 4447 S Canyon Rd Ste 6, Rapid City, SD 57702-1889 | 2007-08-16 |
| 1992996771 | Valerie Flynn | Dermatology | 6701 S. Minnesota Ave, Sioux Falls, SD 57108-2591 | 2007-08-06 |
| 1558373845 | Rapid City Medical Center LLP | Dermatology | 130 N 15th St, Hot Springs, SD 57747-1316 | 2006-08-13 |
| 1215981907 | Ian Andrew Whitcroft | Dermatology | 200 E Highland Blvd, Watertown, SD 57201 | 2006-05-19 |
| 1346216074 | Avera Mckennan | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| 1669448387 | Dennis D Knutson | Dermatology | 116 W. 69th St., Ste. 100, Sioux Falls, SD 57108 | 2006-02-23 |
| 1235103060 | Marc E Boddicker | Dermatology | 710 Saint Anne St, Rapid City, SD 57701-4670 | 2006-02-16 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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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.