MARINA K PETUKOFF (NPI# 1508802596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508802596 |
| Entity Type | Individual |
| Full Name | MARINA K PETUKOFF |
| Credential | MD |
| Practice Address |
353 Fairmont Blvd. Rapid City SD 57701 |
| Mailing Address |
353 Fairmont Blvd Atten Medical Staff Services Rapid City SD 57701-6000 |
| Practice Telephone | 6057191000 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 4607 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
353 FAIRMONT BLVD. |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523126 | Kara Lynn Mcmachen | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd., Rapid City, SD 57701 | 2006-01-18 |
| 1710225164 | Kanchan Karki | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2013-01-18 |
| 1023377884 | Santosh Raj Poudel | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2012-05-14 |
| 1881969780 | Binod Dhungana | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2012-03-12 |
| 1699045666 | Nnamdi A Nwafo | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2012-01-09 |
| 1649560541 | John Christopher Fernau | Nurse Anesthetist, Certified Registered | 353 Fairmont Blvd., Rapid City, SD 57701 | 2011-04-12 |
| 1528361581 | Cherise A Hunter | Nurse Practitioner | 353 Fairmont Blvd., Rapid City, SD 57701 | 2010-12-14 |
| 1194030007 | Amy Ann Newstrom | Nurse Practitioner | 353 Fairmont Blvd., Rapid City, SD 57701 | 2010-08-16 |
| 1295049757 | Braj N Singh | Internal Medicine | 353 Fairmont Blvd., Rapid City, SD 57701 | 2010-07-27 |
| 1053623314 | Basanta Pathak | Hospitalist | 353 Fairmont Blvd., Rapid City, SD 57701 | 2010-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255750105 | Naji Alhasnawi | Hospitalist | 4520 Wentworth Dr, Rapid City, SD 57702-1956 | 2014-04-08 |
| 1376896621 | Black Hills Surgical Hospital LLP | Hospitalist | 1868 Lombardy Dr, Rapid City, SD 57703-4130 | 2012-10-24 |
| 1043521974 | Kantee Karki | Hospitalist | 353 Fairmont Blvd/, Rapid City, SD 57701 | 2010-06-25 |
| 1104821248 | Raymond W Nowaczyk | Hospitalist | 353 Fairmont Blvd, Rapid City, SD 57701 | 2005-06-16 |
| 1639593395 | Natasha A. Telesford | Hospitalist | 502 E Monroe St, Rapid City, SD 57701-1400 | 2014-02-14 |
| 1053623314 | Basanta Pathak | Hospitalist | 353 Fairmont Blvd., Rapid City, SD 57701 | 2010-07-02 |
| 1205928785 | Mona Ahmed Elsayed | Hospitalist | 353 Fairmont Blvd, Rapid City, SD 57701 | 2006-09-29 |
| 1720188220 | Stephen L. Calhoon | Hospitalist | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2006-09-24 |
| 1508966011 | John E. Looby | Hospitalist | 353 Fairmont Blvd., Rapid City, SD 57701 | 2006-09-24 |
| 1417057936 | Gregory L Smith | Hospitalist | 353 Fairmont Blvd., Rapid City, SD 57701 | 2006-09-24 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
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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.