DR. SAMUEL MAX ZOLLICKER (NPI# 1437507399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437507399 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL MAX ZOLLICKER |
| Credential | M.D. |
| Practice Address |
1101 E Holly Blvd Brandon SD 57005-1426 |
| Mailing Address |
1200 S 7th Ave Sioux Falls SD 57105-0998 |
| Practice Telephone | 6055823853 |
| Practice Fax Number | 6055823855 |
| Mailing Telephone | 6057828305 |
| Mailing Fax Number | 6053361677 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11673 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
1101 E HOLLY BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| 1598273542 | Ann J Bossman | Nurse Practitioner | 1101 E Holly Blvd, Brandon, SD 57005-1426 | 2018-01-11 |
| 1285701870 | Avera Mckennan | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005-1426 | 2006-11-29 |
| 1316974959 | Darren Chester | Family Medicine | 1101 E Holly Blvd, Brandon, SD 57005-1426 | 2006-06-27 |
| 1003843624 | Richard Briggs | Family Medicine | 1101 E Holly Blvd, Brandon, SD 57005-1426 | 2006-06-27 |
| 1205871480 | Michelle Mcelroy | Family Medicine | 1101 E Holly Blvd, Brandon, SD 57005-1426 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1124161773 | Michael R Juba | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005 | 2007-02-14 |
| 1548334246 | Med Star Paramedic Inc | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005 | 2006-11-17 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1326121807 | David Fitzgerald Ward | Chiropractor | 1302 E Rushmore Dr, Brandon, SD 57005-0408 | 2006-10-20 |
| Find all providers in zip 57005 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900581 | Maegan Cook Bridges | Family Medicine | 312 Ridge Pointe Dr, Brandon, MS 39042-5035 | 2020-10-24 |
| 1346887353 | Kelli Marie Foster | Family Medicine | 515 Belle Oak Pl, Brandon, MS 39042-8111 | 2019-12-09 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1033566161 | Medi Brandon LLC | Family Medicine | 203 W Bloomingdale Ave, Brandon, FL 33511-7404 | 2016-05-18 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1457780637 | Jennifer Packing-ebuen | Family Medicine | 426w Brandon Blvd, Brandon, FL 33511-5002 | 2013-11-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1265780910 | Uc1, LLC | Family Medicine | 799 Lumsden Rd, Brandon, FL 33511 | 2012-08-28 |
| 1992082721 | Mathew Medical Consulting Pa | Family Medicine | 635 Tuscanny St, Brandon, FL 33511-6165 | 2011-11-08 |
| 1003192246 | Sandra Dorsey | Family Medicine | 122 South Moon Avenue, Brandon, FL 33511 | 2011-11-02 |
| Find all providers in BRANDON | ||||
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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.