WILLIAM BRYCE GAMMETER (NPI# 1467642165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467642165 |
| Entity Type | Individual |
| Full Name | WILLIAM BRYCE GAMMETER |
| Credential | M.D. |
| Practice Address |
4400 W 69th St Suite 1500 Sioux Falls SD 57108-8170 |
| Practice Telephone | 6053225700 |
| Mailing Telephone | 6053225700 |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
8265 | SD | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
8265 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7102910 | 05 |
| Street Address |
4400 W 69TH ST SUITE 1500 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-8170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080595 | Sarah A Flynn | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1609494483 | Hannah Otten | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2020-07-08 |
| 1265096739 | Chelsea Oppold | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2019-04-30 |
| 1891358248 | Paige Elizabeth Thompson | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2019-04-20 |
| 1982198776 | Jennifer Assam | Student in an Organized Health Care Education/Training Program | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2018-06-15 |
| 1184150468 | Gerard J Kokett | Pharmacist | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2017-05-05 |
| 1851823892 | Matthew Malecha | Student in an Organized Health Care Education/Training Program | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2017-03-29 |
| 1992254072 | Jenna Visser | Social Worker | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2016-09-29 |
| 1134674476 | Julia Alzoubaidi | Psychologist | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2016-08-16 |
| 1598131831 | Amber Marie Reints | Nurse Practitioner | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2015-08-20 |
| Find all providers in the same location | ||||
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080595 | Sarah A Flynn | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1033539937 | Adam Peterson | Psychiatry & Neurology | 4500 N Lewis Ave, Sioux Falls, SD 57104-7111 | 2014-04-18 |
| 1134389299 | Ann Margaret Bowden | Psychiatry & Neurology | 4400 W 69th St, Suite 1500, Sioux Falls, SD 57108-8170 | 2008-06-12 |
| 1801080072 | Elizabeth Ann Grace-cruz | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8171 | 2007-08-30 |
| 1588799738 | Wioleta Elzbieta Mazurczak | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2007-02-21 |
| 1730265752 | Nicole Ann Christenson | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-10-31 |
| 1548233091 | Tamara Lynn Vik | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1639141179 | Scott A Schneider | Psychiatry & Neurology | 4400 W 69th St, Ste 500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| 1053383539 | Timothy James Soundy | Psychiatry & Neurology | 4400 W 69th St, Ste 1500, Sioux Falls, SD 57108-8170 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386803039 | Christopher Kenneth Haas | Psychiatry & Neurology | 915 Mt. View Road, Rapid City, SD 57702 | 2008-06-07 |
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.