BLACK HILLS SURGICAL HOSPITAL, LLP (NPI# 1417304924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417304924 |
| Entity Type | Organization |
| Organization Name | BLACK HILLS SURGICAL HOSPITAL, LLP |
| Other Organization Name | WEST RIVER EAR, NOSE, AND THROAT |
| Practice Address |
1868 Lombardy Dr Rapid City SD 57703-4130 |
| Practice Telephone | 6057214900 |
| Practice Fax Number | 6057214964 |
| Mailing Telephone | 6057214900 |
| Mailing Fax Number | 6057214964 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | JACK KAUP (CFO) |
| Authorized Official Telephone | 6057214918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9104 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0108020 | 05 | |
| SD | 5508020 | 05 |
| Other Name | Type Code |
|---|---|
| West River Ear, Nose, and Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063654176 | Black Hills Surgical Hospital, LLP | Special Hospital | 215 Anamaria Dr, Rapid City, SD 57701-7376 | 2009-04-03 |
| 1306295217 | Black Hills Surgical Hospital, LLP | Clinic/Center | 120 E Michigan St, Spearfish, SD 57783-1506 | 2016-06-10 |
| 1154458453 | Black Hills Surgical Hospital, LLP | Pharmacy | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2007-02-27 |
| 1972630275 | Black Hills Surgical Hospital, LLP | Anesthesiology | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2007-02-27 |
| 1679535132 | Black Hills Surgical Hospital, LLP | Special Hospital | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2006-04-03 |
| Street Address |
1868 LOMBARDY DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57703-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376896621 | Black Hills Surgical Hospital LLP | Hospitalist | 1868 Lombardy Dr, Rapid City, SD 57703-4130 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197533 | Richard Brady Perdue | Dentist | 2606 Elderberry Blvd, Rapid City, SD 57703 | 2019-07-26 |
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1689912875 | Rocky Mountain Holdings LLC | Ambulance | 4025 Lacroix Ct, Rapid City, SD 57703 | 2013-01-22 |
| 1083900310 | Olivia Bingaman | Nurse Practitioner | 1760 Centre St Ste B, Rapid City, SD 57703 | 2011-06-24 |
| 1770878944 | Tom Dale Iverson | Pharmacist | 1415 Eglin St., Rapid City, SD 57703 | 2011-06-15 |
| 1770944498 | Richard Scott Wiley | Counselor | 4951 Hansen Ln, Rapid City, SD 57703-0147 | 2016-03-08 |
| 1811271331 | Kelli Jo Birdsall | Speech-Language Pathologist | 4840 Homestead St, Rapid City, SD 57703-0194 | 2011-10-03 |
| 1932658762 | Lyndsay Farnsworth | Registered Nurse | 4840 Homestead St, Rapid City, SD 57703-0194 | 2016-09-21 |
| 1790953198 | Michele Ann Solano | Occupational Therapist | 1221 Aurora Dr, Rapid City, SD 57703-0198 | 2008-02-19 |
| 1902204894 | Delain Kay Johnson | Counselor | 1501 Centre St, Suite 106, Rapid City, SD 57703-3002 | 2014-12-09 |
| Find all providers in zip 57703 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568733798 | Patrick Malachy Mcguigan | Surgery | 4102 Carriage Hills Drive, Rapid City, SD 57702-6868 | 2012-01-19 |
| 1184852782 | James H Oury Md Medical Corporation | Surgery | 607 1/2 Mount Rushmore Rd Ste 112, Rapid City, SD 57701-2782 | 2009-06-23 |
| 1265669956 | Tiffany Ann Frederickson | Surgery | 8412 Kitt Peak Rd, Rapid City, SD 57702-9512 | 2009-06-19 |
| 1043309891 | Wesley L Sufficool | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2006-10-12 |
| 1477544930 | Shannon Alexandria Williams | Surgery | 22805 5th St, Rapid City, SD 57701 | 2005-11-03 |
| 1124410584 | Surgical Solutions Professional Limited Liability Company | Surgery | 904 Quincy St, Suite 2, Rapid City, SD 57701-2608 | 2015-02-23 |
| 1639478290 | Irony Cuervo Del Norte Sade | Surgery | 2805 5th St, Rapid City, SD 57701-6003 | 2011-03-22 |
| 1619276334 | Tyler Bergstrom | Surgery | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2011-03-21 |
| 1134448129 | Matthew Julian Wideroff | Surgery | 2805 5th St, Rapid City, SD 57701 | 2010-05-31 |
| 1295962033 | Health Concepts Wellness Care LLC | Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2009-06-19 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57703 |
Please comment or provide details below to improve the information on BLACK HILLS SURGICAL HOSPITAL, LLP.
| 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.