KENNETH E MCCALLA (NPI# 1487629291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487629291 |
| Entity Type | Individual |
| Full Name | KENNETH E MCCALLA |
| Credential | M.D. |
| Practice Address |
455 N Sioux Point Rd Dakota Dunes SD 57049-5327 |
| Practice Telephone | 6052177000 |
| Practice Fax Number | 6052177015 |
| Mailing Telephone | 6052177000 |
| Mailing Fax Number | 6052177015 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 3590 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
455 N SIOUX POINT RD |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386896 | Patrick M Walsh | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| 1851999411 | Tara Liddiard | Nurse Practitioner | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2020-10-15 |
| 1407375736 | Chad Paul Millikan | Nurse Practitioner | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2017-09-19 |
| 1609293976 | Elkhorn Valley Anesthesia, PC | Nurse Anesthetist, Certified Registered | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2014-03-25 |
| 1770913766 | Lukas Sachau | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2013-11-12 |
| 1518300573 | Jamie Lund Olsen | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049 | 2013-04-09 |
| 1144574997 | Betsy Jo Bolton | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2012-11-01 |
| 1952660011 | Adam Benjamin Althaus | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2012-05-10 |
| 1780988600 | Sarah M Brend | Physician Assistant | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2011-01-06 |
| 1538394952 | David Henry Daniels II | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2009-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053386896 | Patrick M Walsh | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| 1518300573 | Jamie Lund Olsen | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049 | 2013-04-09 |
| 1952660011 | Adam Benjamin Althaus | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2012-05-10 |
| 1538394952 | David Henry Daniels II | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2009-05-29 |
| 1346462702 | Andrew Elliott Bourne | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2007-05-03 |
| 1366462814 | Siouxland Urology Associates PC | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-07-20 |
| 1578538385 | John A Wolpert | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-23 |
| 1538134382 | Thomas W Hepperlen | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| 1518932367 | Timothy G Kneib | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| 1578538401 | David D Howard | Urology | 455 N Sioux Point Rd, Dakota Dunes, SD 57049-5327 | 2006-02-22 |
| Find all providers in DAKOTA DUNES | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
Please comment or provide details below to improve the information on KENNETH E MCCALLA.
| 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.