SHANNON M. CARRUTHERS (NPI# 1437438611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437438611 |
Entity Type | Individual |
Full Name | SHANNON M. CARRUTHERS |
Credential | M.D. |
Practice Address |
4405 E. 26th St. Sioux Falls SD 57103 |
Practice Telephone | 6053289080 |
Mailing Telephone | 6053289080 |
Enumeration Date | 2011-08-05 |
Last Update Date | 2019-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | #9303 | SD | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 4301099364 | MI | Allopathic & Osteopathic Physicians |
Street Address |
4405 E. 26TH ST. |
City | SIOUX FALLS |
State | SD |
Zip Code | 57103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811097025 | Sanford Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 4405 E. 26th St., Ste 2, Sioux Falls, SD 57103-4136 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
Find all providers in zip 57103 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366704694 | Daniel Ward Mark | Pediatrics | 1600 W 22nd St., Sioux Falls, SD 57105-1521 | 2012-06-12 |
1518257047 | Laura Whittington | Pediatrics | 6101 South Louise Ave, Sioux Falls, SD 57108 | 2011-04-18 |
1326359761 | Jennifer M Thompson | Pediatrics | 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105-0410 | 2010-06-30 |
1992016562 | Connie Natalie Taylor | Pediatrics | 1417 S. Cliff Avenue, Suite 010, Sioux Falls, SD 57105-5710 | 2010-06-29 |
1124283296 | Eric C. Towe | Pediatrics | 1417 S. Cliff Ave., Ste. 010, Sioux Falls, SD 57105-1014 | 2008-07-28 |
1497913701 | Richard Stanford Hosen | Pediatrics | 108 E 35th St, Sioux Falls, SD 57105-4935 | 2008-05-23 |
1629024997 | Candice L Nelson | Pediatrics | 6101 S Louise Ave, Sioux Falls, SD 57108-5981 | 2006-05-26 |
1124076278 | Kathy L Reynolds | Pediatrics | 800 East 21st Street, Sioux Falls, SD 57105-1016 | 2006-05-04 |
1184690562 | Joseph C Vogel | Pediatrics | 6215 S Cliff Ave, Sioux Falls, SD 57108-8596 | 2006-02-27 |
1265412332 | Kara Diane Bruning | Pediatrics | 1200 S. 7th Ave, Mcgreevy Clinic Avera, Sioux Falls, SD 57105 | 2006-01-17 |
Find all providers in SIOUX FALLS |
City | SIOUX FALLS |
Zip Code | 57103 |
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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.