HEART HOSPITAL OF SOUTH DAKOTA LLC


Address: 4520 W 69th St, Sioux Falls, SD 57108-8148
Phone: 6059775000

HEART HOSPITAL OF SOUTH DAKOTA LLC (NPI# 1407109705) 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) 1407109705
Entity Type Organization
Organization Name HEART HOSPITAL OF SOUTH DAKOTA LLC
Other Organization Name NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL
Practice Address 4520 W 69th St
Sioux Falls
SD 57108-8148
Mailing Address 4500 W 69th St
Sioux Falls
SD 57108-8148
Practice Telephone 6059775000
Practice Fax Number 6059775377
Mailing Telephone 6059777000
Mailing Fax Number 6059777001
Enumeration Date 2012-10-24
Last Update Date 2012-10-24
Authorized Official Name MR. JON C SODERHOLM (PRESIDENT)
Authorized Official Telephone 6059777005
Is Organization Subpart Y
Parent Organization Name HEART HOSPITAL OF SOUTH DAKOTA LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
41953 SD Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
41953 SD Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
41953 SD Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 41953 SD Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
41953 SD Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
NORTH CENTRAL HEART A DIVISION OF AVERA HEART HOSPITAL Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023003969 Heart Hospital of South Dakota LLC General Acute Care Hospital 4500 W 69th St, Sioux Falls, SD 57108-8148 2005-09-16

Office Location

Street Address 4520 W 69TH ST
City SIOUX FALLS
State SD
Zip Code 57108-8148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285622670 North Central Heart Institute Internal Medicine 4520 W 69th St, Sioux Falls, SD 57108-8148 2005-10-10
1962043075 Shayla Ann Johnson Nurse Practitioner 4520 W 69th St, Sioux Falls, SD 57108-8148 2019-10-01
1740839877 Thomas James Babb Pharmacist 4520 W 69th St, Sioux Falls, SD 57108-8148 2019-09-11
1629550512 Jessica Powell Physician Assistant 4520 W 69th St, Sioux Falls, SD 57108-8148 2018-09-06
1437668027 Kathryn Ann Adams Nurse Practitioner 4520 W 69th St, Sioux Falls, SD 57108-8148 2017-09-26
1881133122 Mary Stephanie Kirkpatrick Registered Nurse 4520 W 69th St, Sioux Falls, SD 57108-8148 2017-02-20
1972907939 Julie Langerock Nurse Practitioner 4520 W 69th St, Sioux Falls, SD 57108-8148 2014-10-20
1972932374 Lisa Catherine Doom-anderson Nurse Practitioner 4520 W 69th St, Sioux Falls, SD 57108-8148 2013-11-06
1154674786 Mohammed Andaleeb Chowdhury Internal Medicine 4520 W 69th St, Sioux Falls, SD 57108-8148 2012-10-19
1225392160 Thomas M. Waterbury Internal Medicine 4520 W 69th St, Sioux Falls, SD 57108-8148 2012-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134735764 Faith Carlson Counselor 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 2020-09-18
1063020196 Emily Mensen Physical Therapist 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 2020-07-15
1528695798 Allison Mcentee Physician Assistant 3620 East Prairiewind Street, Sioux Falls, SD 57108 2020-03-26
1265935829 Sioux Falls Audiology Associates Clinic/Center 4948 E. 57th Street, Sioux Falls, SD 57108 2018-03-09
1184124935 Haley Elizabeth Luond Chiropractor 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 2018-02-19
1770098881 Yinan Zhao Acupuncturist 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 2017-12-12
1447780796 Sioux Falls Specialty Hospital, LLP Special Hospital 7600 South Minnesota Ave, Sioux Falls, SD 57108 2017-06-19
1952831786 Brock T Nelsen Dentist 5121 S Solberg Ave #120, Sioux Falls, SD 57108 2017-06-14
1629517552 Sarah Kenyon Chiropractor 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 2017-02-12
1386029460 Michelle Anne Pliska Counselor 5621 Southeastern Ave, Sioux Falls, SD 57108 2015-07-30
Find all providers in zip 57108

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548685050 Mary Slattery Internal Medicine 808 E Tomar Pl, Sioux Falls, SD 57105-7019 2014-02-20
1891782645 Kevin J Vaska Internal Medicine 6709 S Minnesota Ave Ste 101, Sioux Falls, SD 57108-2593 2005-10-05
1023013075 Lloyd E Solberg Internal Medicine 1301 W 18th St, Sioux Falls, SD 57105-0401 2005-06-16
1518527399 Csd Care of Sd, LLC Internal Medicine 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 2019-06-14
1154674786 Mohammed Andaleeb Chowdhury Internal Medicine 4520 W 69th St, Sioux Falls, SD 57108-8148 2012-10-19
1972879161 John Francis Wagener Internal Medicine 4520 W 69th St, Sioux Falls, SD 57108-8148 2012-04-01
1215166921 Ewa A Konik Internal Medicine 4520 W 69th St, Sioux Falls, SD 57108-8148 2009-07-02
1831302009 Orvar Jonsson Internal Medicine 1305 W 18th St, Sioux Falls, SD 57105-0401 2007-05-07
1740493964 Maria Stys Internal Medicine 1305 W 18th St, Sioux Falls, SD 57105-0401 2007-05-07
1447304076 Donald T Bishop Internal Medicine 911 E 20th St, Suite 405, Sioux Falls, SD 57105-1042 2007-01-22
Find all providers in SIOUX FALLS

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City SIOUX FALLS
Zip Code 57108

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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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