MR. GERALD JEROME HOTZ (NPI# 1477738532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477738532 |
| Entity Type | Individual |
| Full Name | MR. GERALD JEROME HOTZ |
| Credential | M.T. |
| Practice Address |
6080 Coady Ct Rapid City SD 57703-9603 |
| Practice Telephone | 6053934374 |
| Mailing Telephone | 6053934374 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
SD128925 | SD | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6080 COADY CT |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57703-9603 |
| 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 | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
| 1144530544 | Kelly R Wiley | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-10-19 |
| 1689996068 | Joseph Edward Ferber | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-25 |
| 1255663670 | Kelly Joe Thomas | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-10 |
| 1679805162 | Sarah Ann Lantis | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-08 |
| 1073845566 | Jeanette Kay Ofstad | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063711471 | Elizabeth Susan Erickson | Spec/Tech, Pathology | 2400 Fox Rd, Sturgis, SD 57785-2204 | 2011-03-24 |
| 1083933436 | David-rush Douglas Lowe | Spec/Tech, Pathology | 506 6th Ave W, Mobridge, SD 57601-2048 | 2010-05-25 |
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| 1679735989 | Donavon Clay Lawrence | Spec/Tech, Pathology | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-06-27 |
| 1073775557 | Brian E Labelle | Spec/Tech, Pathology | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-06-26 |
| 1346413762 | Leslie Rae Kerwin | Spec/Tech, Pathology | 211 S River St, Chamberlain, SD 57325-1525 | 2008-04-07 |
| 1740497775 | Wanda Jean Dally | Spec/Tech, Pathology | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-17 |
| City | RAPID CITY |
| Zip Code | 57703 |
Please comment or provide details below to improve the information on MR. GERALD JEROME HOTZ.
| 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.