JOSEPH J FANCIULLO (NPI# 1437182516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437182516 |
| Entity Type | Individual |
| Full Name | JOSEPH J FANCIULLO |
| Credential | MD |
| Practice Address |
6100 S Louise Ave Ste 1130 Sioux Falls SD 57108-6021 |
| Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
| Practice Telephone | 6055041600 |
| Mailing Telephone | 6053227510 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4251 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6630073 | 05 | |
| SD | RR MEDICARE | P00757173 | 01 |
| SD | RAILROAD MEDICARE | 660003929 | 01 |
| SD | 6630074 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1301 S. Cliff Ave., Ste. 300, Sioux Falls, SD 571051032 | 6053226625 | 6053226626 |
| Street Address |
6100 S LOUISE AVE STE 1130 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548228810 | Gregory Eric Mumm | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-05-03 |
| 1700229424 | Jessica Sue Mathison Srstka | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2013-04-11 |
| 1023396900 | Amy J Dix | Nurse Practitioner | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2011-07-27 |
| 1013177393 | Avera Mckennan | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2008-06-11 |
| 1871526962 | Christine S. Halligan | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-07-09 |
| 1851328231 | Kara Linda Petersen | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-06-28 |
| 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 Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669737862 | Hamza Hadi A Tantoush | Internal Medicine | 1310 W 22nd St Ste Lower Level, Sioux Falls, SD 57105-1501 | 2012-07-12 |
| 1710377544 | Wais Afzal | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2015-02-02 |
| 1669888566 | Vivek Joseph | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2014-07-11 |
| 1871881284 | Aaroop Haridas | Internal Medicine | 1321 W 22nd St, Sioux Falls, SD 57105-1502 | 2011-07-19 |
| 1679864375 | Jenna King | Internal Medicine | 1301 S. Cliff Ave, Suite 300 Plaza 2, Sioux Falls, SD 57105-1032 | 2011-04-28 |
| 1013177393 | Avera Mckennan | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2008-06-11 |
| 1871526962 | Christine S. Halligan | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-07-09 |
| 1851328231 | Kara Linda Petersen | Internal Medicine | 6100 S Louise Ave Ste 1130, Sioux Falls, SD 57108-6021 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255568069 | Michael Thomas Avery | Internal Medicine | 640 Flormann St, Rapid City, SD 57701-4679 | 2009-06-18 |
| 1871784124 | Leann Bassing | Internal Medicine | 1104 W 8th St, Yankton, SD 57078-3306 | 2007-08-01 |
| 1891877098 | Brian Paul Bowers | Internal Medicine | 640 Flormann St, Rapid City, SD 57701-4579 | 2006-10-19 |
| 1881604320 | Cnos PC | Internal Medicine | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2006-08-08 |
| 1386694255 | Ricardo Ernesto Alvillar | Internal Medicine | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2006-05-11 |
| 1699778928 | Robert Chad Wisco | Internal Medicine | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-31 |
| City | SIOUX FALLS |
| Zip Code | 57108 |
Please comment or provide details below to improve the information on JOSEPH J FANCIULLO.
| 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.